Business/Fleet Credit Application

Please Complete All Required Fields*

Legal Business Name*

Officer First Name*

Officer Last Name*

Officer Title*

Email*

Business Phone Number*

Type of Business Entity*

Corporation

LLC

Proprietorship

Number Of Years In Business*

Tax ID#*

Gross Monthly Income*

Business Address*

City*

State*

Postal Code*

Privacy Statement
Introduction
We want to ensure your private information is kept private and only shared with those companies who are authorized either by yourself or as allowed or required by law. This document explains our privacy policy, gives you reasons why we ask for the type of information we do, and lets you 'opt-out' of our sharing as allowed by law. Please take a moment to read this entire policy.
Collection of Information
The purchase of a motor vehicle requires considerable accumulation of nonpublic personal information. For example, if we sell or lease you a vehicle - extending you credit at your request - we will receive information from you in order to determine your creditworthiness. We may also obtain information from a credit-reporting agency and third parties, such as, employers, references and insurance companies. Some of the information we obtain from you may be required by state of federal agencies, such as, the Department of Motor Vehicles or the Internal Revenue Service. This information may be required even if you pay cash for your vehicle. Examples include a driver's license or social security number.
Protecting Your Information
We safeguard nonpublic personal information according to established industry standards and procedures. We maintain physical and electronic safeguards that comply with state and federal law. We restrict access to nonpublic personal information about you to those employees and outside contractors who need to know the information to provide product or service to you. We prohibit our employees and agents from giving information about you to anyone in a manner that would violate any applicable law or our privacy policy.
Information Sharing
We share information:
A) For everyday business purposes, such as to process transactions, maintain account(s), respond to court orders and legal investigations, or report to credit bureaus.
B) For purposes of processing a sale or lease transaction as you request or authorize, such as submitting information to third party financial institutions that may be requested to take an assignment of the contract or verifying insurance coverage information.
C) When using outside service providers to help us provide you with products and services. Before providing information to our service providers we enter into contractual agreements prohibiting them from disclosing or using the information other than for the purpose it was disclosed.
D) With 'Affiliated' companies. Companies that are affiliated with us include any company that controls us, any company we control, or any company under common control with us. These include: Midway Freightliner, Inc., Midway Western Star Truck, Center, Inc. and Midway USA Collision Center*

I agree to allow Midway Ford Truck Center, Inc. to share information with its affiliates and non-affiliates as listed above to market to me.

I do not agree to let Midway Ford Truck Center, Inc. share nonpublic personal information about me to its affiliates for marketing purposes and non-affiliates parties for marketing and other use.

Business/Fleet Credit Application

Please Complete All Required Fields*

Dealership Hours

Parts Dept. Hours

Service Dept. Hours