Mazda Clearwater

Mazda Financial Services can offer a number of unique finance options to best suit your budget.

Speak to our Finance & Insurance team for more information about how to apply for finance. Alternatively you can complete the form below to see if you qualify.

 
Name *Surname *
Email *Mobile *
Which vehicle are you applying for *
Your ID Number *
Gender *Male
Female
Marital Status *Single
Married
Which City/Town do you live in *
Your Home Address *
How long have you lived there *
Your Next of Kin (a person that does not have the same address as you) *
What is your relationship with this person *
His/Her contact number *
His/Her Address *
Employment Details
What is your Occupation *
Your Employer Name (Company Name) *
Your Employer Tell (land line) *
Employer Address (Company Address) *
How long have you been working there *
Banking Details
Who do you bank with *
Bank branch name *
Bank branch code *
Bank Account number *
Account Type *
What is your basic salary (R) *
Your nett salary after deductions (R) *
Monthly Expenses
How much do you spend on rent/bond per month (R) *
How much on clothing accounts per month (R) *
How much on cellphone accounts per month (R) *
How much on transport/car per month (R) *
How much on food per month (R) *
Preferred contact method:
Phone (call)
Phone (SMS)
Email
 

 

 
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