Credit Application

Page 1

1 Tell us about yourself
2 See Pre-qualification status
Personal Info
Contact Info
Vehicle

You understand that by clicking on the I AGREE button immediately following this notice, you are providing 'written instructions' to Dormans Auto Center Inc. under the Fair Credit Reporting Act authorizing Dormans Auto Center Inc. to obtain your personal consumer report from one or more credit reporting agencies. You authorize Dormans Auto Center Inc. to obtain such information solely to conduct a prequalification for credit.