CONTACT:   Greg Grossenbacher

Phone: (866) 713-2080  Fax: (616) 997-0178
  BUYER
First Name Last Name
Street Address City Name
State/Province                                            Zip/Postal Code
Daytime Phone Date of Birth
Social Security # Drivers License. #
Employer's Name Work Phone #
Time on Job (Yrs) Salary (Annual)
Source of Other Income Amount (per Month) $
  CO-BUYER
First Name Last Name
Street Address City Name
State/Province                    Zip/Postal Code
Daytime Phone Date of Birth
Social Security # Drivers License. #
Employer's Name Work Phone #
Time on Job (Yrs) Salary (Annual)
Source of Other Income Amount (per Month) $
  UNIT INFORMATION
Make        Model             
Checking this box and submitting this application, I/We Certify that the above information is true and complete to the best of my/our knowledge and I/we authorize Fun-N-suN RV, Inc. to have my/our credit and employment history checked.  
Applicant Signature Co Applicant Signature