Sales Department, BURT LAKE MARINA, Indian River, Michigan

info@burtlakemarina.com

TO HOME PAGE

Ph: 231-238-9315
4879 South Straits Hwy.
Indian River, Michigan

SALES DEPT
Sales Staff
Credit Application

ATV's:
CAN-AM

BOATS:
Crest Pontoons
Four Winns
Sea-Doo
South Bay Pontoons
Used Boats

SNOWMOBILES:
Ski-Doo
Snowmobile Rental
Used Snowmobiles

SERVICE
Service Center
Parts & Accessories
Spring Prep.
Winterizing
Storage
Service Request

DOCKS & HOISTS
Shore Station

OTHER
Contacts & Location
New Message Board
Customer Feedback

Please fill out the form below and we will contact you.

APPLICANT

Last Name:

First Name:

Social Security #:

Drivers License #:

Address (include street, city & zip):

Time at Address:

County:

Phone #:

E-mail:

Birth Date:

Housing:

Mortgage holder
or Landlord

Monthy Payment $:

Place of Employment

Occupation

Supervisor

Work Phone

Length of Employment:

Gross Income before taxes:

CO-APPLICANT (optional)

Last Name:

First Name:

Social Security #:

Drivers License #:

Address (include street, city & zip):

Phone #:

Birth Date:

Place of Employment

Length of Employment:

Gross Income before taxes:

Nearest Relative, not living in household

Name

Relationship

Address (include street, city & zip):

Phone Number

Product Purchasing

Make:

Model:

Year:

Down Payment:

By checking yes in this box I am giving permission to Burt Lake Marina to pursue credit for this purchase on my behalf.
Any Comments or Questions:

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