BURT LAKE MARINA 231-238-9315 Sales 238-8265 Parts & Service since 1969
Four Winns - Bennington Pontoon - Sea-Doo - Ski-Doo - Can-Am ATV/SSV - Volvo Penta - BRP Evinrude - Sales & Service - Floe and Shore Station Dock & Hoists
Credit Application
Credit Application
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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