Purpose Amount Requested Loan Term
Year Make Model Mileage
First Name
MI
 Last Name Social Security Number
Street Address City State Zipcode
Telephone Number Birthdate (Month/Day/Year) E-mail Address
Length of Residence Housing Status Monthly Payment
Mortgage Holder Estimated Property Value Mortgage Balance
Employer Telephone Number Supervisor
Street Address City State Zipcode
Position/Department Length of Employment Income Per
Do you have a Checking Account? Yes No
Checking Account Number Financial Institution
Do you have a Savings Account? Yes No
Savings Account Number Financial Institution
Name of a Relative Relationship to Applicant Telephone Number
Street Address City State Zipcode
Name of a Personal Friend Address (Street, City, State, Zip) Telephone Number
If you have an AutoLoan Sale coupon, enter the promocode, located on the back of your card, below. You must enter the first six (6) digits in the first box and the last two (2) in the second box.
PROMOCODE
To apply for AutoPayment, please enter your GCF account type and number below. If you do not have a GCF account and wish to have AutoPayment, please check the box below.
Open Account at Loan Closing.
Subject to credit approval. Offer only available to new loan accounts. Existing GCF automobile loans are not eligible. Coupon must be presented during new account opening. All applications are subject to Gloucester County Federal Savings Bank's underwriting standards. GCF reserves teh rights to revoke this offer at any time, if necessary. One coupon per customer. Valid to New Jersey residents only. Both offers may be combined. Offer expires 6/01/03.