(810)720-0077 - Sales
(810)720-0067 - Fax
5197 Miller Rd
Flint, MI 48507

0% Interest and $250 Monthly!

Customer Application

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Personal Information
Full Name
Marital Status:
Social Security #: - -
Drivers License & Exp Date - / /
Date of Birth: / /
Email Address:
Cell Phone: eg: 234-555-1212
Street 1:
Street 2:
City / State / Zip:
How long have you lived at this address:
Have you lived at the above address for more than 5 years? yes     no
Spouse's Personal Information
Spouse's Full Name
Spouse's Social Security #: - -
Spouse's Drivers License & Exp Date - / /
Spouse's Date of Birth: / /
Spouse's Email Address:
Spouse's Home Phone: eg: 234-555-1212
Spouse's Cell Phone: eg: 234-555-1212
Street 1:
Street 2:
City / State / Zip:
How long has your spouse lived at this address:
Has your spouse lived at the above address for more than 5 years? yes     no

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Tripoint Auto Mall

Tripoint Auto Mall
5197 Miller Rd
Flint, MI 48507

(810)720-0077 - Sales
(810)720-0067 - Fax
Mon: 10:00AM - 5:00PM
Tue: 10:00AM - 5:00PM
Wed: 10:00AM - 5:00PM
Thu: 10:00AM - 5:00PM
Fri: 10:00AM - 5:00PM
Sat: 10:00AM - 4:00PM
Sun: CLOSED
0% Interest and $250 Monthly!