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Please complete the following application form to apply for finance through Regent Car Court.
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View our finance information page here to learn about our commitment to responsible lending as well as how our weekly finance repayments are calculated.

2013 Mazda CX-5 20S L
179,291km, Automatic, Petrol, 2000cc $13,990
Applicant
1
Address & Employment
2
Contact
3
Financials
4
Loan Detail
5
Apply
6

1. Applicant Information

Is this a joint application? No
Please enter your first name(s)
Please enter your middle name(s)
Please enter your last name
Please enter your marital status
Please enter the number of dependants
Please enter your drivers licence type
Please enter drivers licence no
Please enter drivers licence version no
Please enter a valid email address
Previous Finance Details

2. Address & Employment

Address Details
Own House
Renting
Boarding
Other
Please enter a Tenancy Type
Please enter a your address
Please enter suburb
Please enter city
Please enter the years lived at the above address
Employment Details
Please enter your employment start month
Please enter your employment start year
Please enter your occupation
Please enter your employer
Please enter hours worked per week
Please enter a your previous address
Please enter suburb
Please enter city
Please enter your employers phone number
Please enter your employment start month
Please enter your employment start year
Please enter your occupation
Please enter your employer
Please enter hours worked per week
Please enter a your previous address
Please enter suburb
Please enter city
Please enter your employers phone number

3. Contact Details

Next of Kin Details (NB - Must not live at the same address as you)
Please enter the name
Please enter the relationship (eg mother/father etc)
Please enter the contact number
Please enter a the address
Please enter the suburb
Please enter the city
Another Contact's Details (eg. Friend, Workmate etc)
Please enter the name
Please enter the relationship (eg mother/father etc)
Please enter the contact number
Please enter a the address
Please enter the suburb
Please enter the city

4. Financials

Income
Applicant 1
Please enter your income type
Please enter the amount in the hand
.00
Please enter your pay frequency
Applicant 2 / Partner Income
.00
Assets
Property 1
.00
.00
.00
Is Rental?
Property 2
.00
.00
.00
Is Rental?
Vehicle 1
.00
.00
.00
Vehicle 2
.00
.00
.00
Other Assets
.00
.00
.00
.00
Outgoings (IE. Your expenses and repayments)
Expenses
.00
.00
.00
.00
Loan Repayments
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00

5. Loan Details

2013 Mazda CX-5 20S L
179,291km, Automatic, Petrol, 2000cc $13,990
.00
Please enter the amount you wish to finance
.00
.00
Please describe the vehicle you wish to finance
Please select your preferred payment term
.00
Please enter your preferred repayment amount
Please enter your preferred repayment frequency
Other Information
Do you have any previous credit related issues that may need to be addressed prior to a successful application?
No
Are you an NZ citizen/NZ born?
Yes
I am also interested in
purchasing Mechanical Breakdown Insurance for this vehicle

The Privacy Act 2020

I/we authorise Regent Car Court* 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 Regent Car Court’s rights thereunder;
  • Marketing and/or informing me/us about the goods and services provided by Regent Car Court

I/we authorise Regent Car Court 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 Regent Car Court to provide this information:

  • To any person for the foregoing purposes;
  • to any employees and agents of Regent Car Court 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 pursuant to the Privacy Act 2020, I/we have a right of access to information collected by Regent Car Court about me/us and to request that this information be corrected. The information will be held at the office of Regent Car Court, 167-169 Clyde Street, Invercargill, 9810 or the registered offices of any party nominated by Regent Car Court.

*Regent Car Court 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.

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COVID-19 Update

To all our valued Customers,

The Government has moved us to Red Light Settings.

We are still able to welcome you onto our yards to view vehicles. We ask that you follow social distancing rules. Masks will be mandatory while visiting any of our yards and must remain on at all times during a test drive. We will only be able to have one customer group in our office at any one time so that we can maintain social distancing. Please be patient with our staff.

We are still taking all the necessary steps and have processes in place to ensure that we keep everyone safe. There will be continued changes to how we can operate but we are committed to continuing to provide a safe and high level of service while following all Government guidelines. All vehicles and areas on our yards will be under stringent cleaning and sanitising protocols. We will have hand sanitiser available for your use on our yards also.

All our vehicles are listed on our website, Trade Me and Need A Car and we welcome any enquires you may have

If coming onto our yard is not for you, we respect that and can still provide a contactless service, please contact us by email or phone. We can video call you to give you a tour of any vehicle on our yard or arrange an appointment time to view.

We look forward continuing to help you with all your vehicle needs while we continue to follow the Governments guidelines to keep safe and stop the spread of COVID-19.