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Online Credit Application

DESCRIPTION OF UNITS TO BE PURCHASED

Note: You can also input any Model which is not in our website as long as related to motorcycle, appliance & power product. Our Sales Representative will contact as soon as they received and confirm if the product is available.
Note: Select an area which is in the list. (Live search)
Note: Select a branch which is in the list. (Live search)

UNIT INFORMATION


APPLICANT


SOURCE OF INCOME



NUMBER OF DEPENDENTS


I certify that the data I have disclosed in this credit application are true to my knowledge and hereby authorized DUEKSAM,INC. and it's authorized representatives to conduct the corresponding credit investigation thereon.

WARNING: SALES AGENTS are NOT AUTHORIZED to collect or receive payments. Any made or entrusted to any Person not remitted to the office is null and void. ALWAYS ASK FOR A RECEIPT.