{"id":944,"date":"2015-04-24T00:49:47","date_gmt":"2015-04-24T00:49:47","guid":{"rendered":"http:\/\/halifaxautobrokers.com\/?page_id=944"},"modified":"2018-05-10T03:52:48","modified_gmt":"2018-05-10T03:52:48","slug":"credit-application","status":"publish","type":"page","link":"https:\/\/halifaxautobrokers.com\/?page_id=944","title":{"rendered":"Credit Application"},"content":{"rendered":"<p><span style=\"color: #000000;\">\n\n<!-- Fast Secure Contact Form plugin 4.0.52 - begin - FastSecureContactForm.com -->\n<div style=\"clear:both;\"><\/div>\n<p>Please fill out our secure credit application form below. All fields are required and a representative will contact you shortly.<\/p>\n<div id=\"FSContact1\" style=\"width:99%; max-width:555px;  padding-left:20px;\">\n<form action=\"https:\/\/halifaxautobrokers.com\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F944#FSContact1\" id=\"fscf_form1\" method=\"post\">\n\n<div id=\"fscf_required1\">\n  <span style=\"text-align:left;\">*<\/span> <span style=\"text-align:left; color:white;\">indicates required field<\/span>\n<\/div>\n\n\n<div id=\"fscf_div_clear1_0\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_0\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_name1\">Name:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_name1\" name=\"full_name\" value=\"\"  readonly=\"readonly\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_2\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_2\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_2\">Subject:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_2\" name=\"subject\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_7\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_7\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_7\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_7\">Birthdate:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_7\" name=\"Birthdate\" value=\"mm\/dd\/yyyy\"  size=\"15\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_5\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_5\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_5\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_5\">Phone:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_5\" name=\"Phone\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_8\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_8\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_8\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_8\">Street<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_8\" name=\"Address\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_12\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_12\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_12\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_12\">City<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_12\" name=\"City\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_13\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_13\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_13\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_13\">Province<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_13\" name=\"Province\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_14\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_14\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_14\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_14\">Postal Code<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_14\" name=\"Postal-Code\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_1\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_1\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_email1\">Email:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_email1\" name=\"email\" value=\"\"  readonly=\"readonly\" \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_6\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_6\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_6\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_6\">SIN:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_6\" name=\"SIN\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_9\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_9\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_9\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_9\">Employer:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_9\" name=\"Employer\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_15\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_15\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_15\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_15\">Employer Address:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_15\" name=\"Employer-Address\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_16\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_16\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_16\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_16\">Position \/ Job Title:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_16\" name=\"Position-Job-Title\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_17\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_17\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_17\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_17\">How Long?<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <select style=\"text-align:left;\" id=\"fscf_field1_17\" name=\"How-Long[]\">\n        <option value=\"1\">Less than 1 Year<\/option>\n        <option value=\"2\">2 Years<\/option>\n        <option value=\"3\">3 Years<\/option>\n        <option value=\"4\">More than 5 Years<\/option>\n      <\/select>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_10\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_10\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_10\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_10\">Monthly Income:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_10\" name=\"Monthly-Income\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n\n<div id=\"fscf_div_clear1_11\" style=\"clear:both;\">\n  <div id=\"fscf_div_field1_11\" style=\"clear:left; float:left; width:99%; max-width:550px; margin-right:10px;\">\n    <div  id=\"fscf_label1_11\" style=\"text-align:left; padding-top:5px;\">\n      <label style=\"display:inline; color:white;\" for=\"fscf_field1_11\">Additional Monthly Income:<span style=\"text-align:left;\">*<\/span><\/label>\n    <\/div>\n    <div style=\"text-align:left;\">\n      <input style=\"text-align:left; margin:0; width:99%; max-width:250px; color:white;\" type=\"text\" id=\"fscf_field1_11\" name=\"Additional-Monthly-Income\" value=\"\"  \/>\n    <\/div>\n  <\/div>\n<\/div>\n<div style=\"clear:both;\"><\/div>\n\n<div id=\"fscf_submit_div1\" style=\"text-align:left; clear:both; padding-top:15px;\">\n\t\t<input type=\"submit\" id=\"fscf_submit1\" style=\"cursor:pointer; margin:0; color:red;\" value=\"Submit\"  onclick=\"this.disabled=true; this.value='Submitting...'; this.form.submit();\" \/> \n<\/div>\n\n<input type=\"hidden\" name=\"fscf_submitted\" value=\"0\" \/>\n<input type=\"hidden\" name=\"fs_postonce_1\" value=\"8f68316ef53923070e037c584bfb600f,1777142483\" \/>\n<input type=\"hidden\" name=\"si_contact_action\" value=\"send\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"1\" \/>\n<input type=\"hidden\" name=\"mailto_id\" value=\"1\" \/>\n\n<\/form>\n<\/div>\n<div style=\"clear:both;\"><\/div>\n\n<!-- Fast Secure Contact Form plugin 4.0.52 - end - FastSecureContactForm.com -->\n<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-944","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=\/wp\/v2\/pages\/944","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=944"}],"version-history":[{"count":8,"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=\/wp\/v2\/pages\/944\/revisions"}],"predecessor-version":[{"id":1743,"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=\/wp\/v2\/pages\/944\/revisions\/1743"}],"wp:attachment":[{"href":"https:\/\/halifaxautobrokers.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=944"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}