Application For Finance Ph: (03) 9894 2244  To apply for vehicle finance, please fill out and submit the form below. All the information received by Blackburn Nissan wil be treated with the utmost confidentiality. Please note: The items marked * are required information. Our Privacy Policy Please read our privacy policy (the link is below) which will discloses the privacy practices of our Dealership. This privacy notice applies solely to information collected by this web site. I acknowledge and declare that I have read and agree with the terms and conditions of the Blackburn Nissan Privacy Policy I wish to opt out of having my nonpublic personal information disclosed to non-affiliated third parties except as permitted by law Identification * First Name: * Last Name: * (STD Code) Home Phone: * Address: * City: * State: Australian State Victoria NSW Tasmania Queensland ACT NT South Australia West Australia * Postcode: Email: * Tax File Number: * Date of Birth(mm/dd/yyyy): I certify that the information provided by me is correct. I also understand that you will be checking with credit reporting agencies. I authorize an investigation of my credit and employment history and the release of information about my credit experience. I have read and received a copy of your Privacy Notice and agree to all of the above. (Initial here) *required *    • Approval based on lender criteria, Not all customers will qualify. Please read our privacy notice (link below) - which will discloses the privacy practices for Blackburn Nissan. This privacy notice applies solely to information collected by this web site.