Fairfield Chevrolet Cadillac
Request Financing
Fill out this short form to apply for a loan! By filling out this form, you are authorizing us to run a credit check on you. When you click the Send button, your information will be submitted securely. It will not be accessible by any outside parties and will only be accessed by our Finance Department. Please call us at Sales: 800-610-9513 / Service: 800-649-6971

Loan Information

* Applicant Type:
* Amount Required: * Loan Term:
* Down Payment: * Trade-In:

Employment Information

* Employer:
* Occupation:
* Monthly Income:
* Time On Job:
* Business Phone:
* Address:
* City: * State:
* Zip:

Other Income

Source: Monthly Income:

Contact Information

* First Name: * Last Name:
* Email: Home Phone:
* Day Phone: Fax:
Cell Phone: * Preferred Contact:
* Address:
* City: * State: * ZIP Code:

Applicant Information

  Format: xxx-xx-xxxx   Format: MM/DD/YYYY
* Soc. Sec. No.: * Date of Birth:
* Residence Type: * Monthly Payment:
* Years At Residence:

Additional Information

Message Text:

Vehicle of Interest

* These fields are required
I certify that I have provided true and accurate information in this form. By submitting this form, I authorize the dealer to begin a credit investigation, to process my application, and to forward my application to lenders, financial institutions, or other third parties in order to process my application.


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Fairfield Chevrolet Cadillac
400 N. Derr Drive
Lewisburg, PA 17837
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Phone: 800-610-9513
Email: Contact Us