06 278 4160
  141 Glover Road, Hawera
Hours: 8:00am - 5:00pm Mon - Fri,  9:00am - 12:00pm Sat

Apply For Finance Online

Please complete the following application form to apply for finance through Action Moto.

Note: All fields marked with an asterisk (*) are required to enable us to start processing your application.

Applicant Information

First Name(s)*

 
Last Name*

 
Date of Birth* (dd-mm-yyyy)

 
Marital Status*

 
Email Address*

   
Drivers License No.

 
Version No.

 
Best Daytime Phone

 
Mobile Phone

 
Home Address

 
Suburb

 
City

 
Postcode

 

Finance Details

Finance Amount*

 
Vehicle Description*

 

Before completing this application it is a requirement that you read and accept the below Privacy Act Statement.

The Privacy Act 1993

I/we authorise Action Moto* to collect, retain and use the personal information about me/us, for the purposes of:

  • Assessing my/our credit worthiness;
  • Attending to the financing, whether directly or indirectly, of my/our contract(s) and enforcing Action Moto’s rights therunder;
  • Marketing and/or informing me/us about the goods and services provided by Action Moto

I/we authorise Action Moto to collect from credit reporting agencies, credit providers, my/our employer(s), accountant(s), relatives, or other person(s) such personal, financial and commercial information about me/us for the said purposes.

I/we authorise Action Moto to provide this information:

  • To any person for the foregoing purposes;
  • to any employees and agents of Action Moto and/or any other person, in any ordinary course of business, for any of the foregoing purposes;
  • To credit agencies for the purpose of maintaining proper or effective records.

I/we acknowledge that if i/we do not provide all or any part of the information requested on this application form, my/our application for finance may be declined. I/we further acknowledge that pursant to the Privacy Act 1993, I/we have a right of access to information collected by Action Moto about me/us and to request that this information be corrected. The information will be held at the office of Action Moto, 141 Glover Road, Hawera or the registered offices of any party nominated by Action Moto.

*Action Moto and other associated third parties

To verify your acceptance of the above Privacy act statement please enter the word ACCEPT into the text box below and click the submit button.

Type the word ACCEPT to continue        Apply for Finance
 

2011 Honda HONDA SCV100

$3,500 All Inclusive