"WE ARE SAVING A GREAT DEAL FOR YOU"                    


NEW FORD     NEW CHRYSLER    Dodge

     Town & Country Motors
508 North Market Street
  Ligonier, PA 15658-9701
Tel: 724-238-9577 OR
814-255-FORD (3673)

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The Ligonier Valley Chamber of Commerce

 

Please provide the following contact information:

Please note that PreApproval applications are for individual applicants only.
 If you exit the application before submitting it, your information will be lost.
 

 
First Name:
 
Middle Initial:
 
Last Name:
 
 Generation:
 
Street Address:
 
City:
 
State:
 
 Zip Code:
-
 
Home Phone Number:
( )
 
Work Phone Number:
( )
 
Email:
 
Social Security Number (xxx-xx-xxxx):
- -
 
Date of Birth (mm/dd/yyyy):
/ /
 
Gross Salary:
$
 
 Period:
 

You have now provided us with enough information to initiate the PreApproval decision process.

I understand this partial application may not provide sufficient information to make a credit decision. If this occurs, I agree to provide the additional requested information. If I do not provide this information, I understand my application will be incomplete.
 
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