Online Application for Finance

Please complete the following application form to apply for finance through Eurofinance.
Note: All fields marked with an asterisk (*) are required to enable us to start processing your application.

Alternatively, download our application form here, manually complete it, then post or fax back to us.

The transmission of your personal information over the Internet is protected by our Secure Socket Layer (SSL) protocol.

Applicant Information

First Name(s)*	Last Name*
Date of Birth* (dd-mm-yyyy)	Marital Status*
Email Address*	Drivers License No.	Version No.
Daytime Phone	Mobile Phone
Home Phone	Work Phone
Home Address	Suburb
City	Postcode

Finance Details

Finance Amount*		Purpose of Loan*

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 Eurofinance* 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 Eurofinance’s rights therunder;
Marketing and/or informing me/us about the goods and services provided by Eurofinance

I/we authorise Eurofinance 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 Eurofinance to provide this information:

To any person for the foregoing purposes;
to any employees and agents of Eurofinance 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 Eurofinance about me/us and to request that this information be corrected. The information will be held at the office of Eurofinance, cnr Durham & St Asaph Streets, Christchurch or the registered offices of any party nominated by Eurofinance.

*Eurofinance 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