First Name *
Last Name *
Home Address *
Postal Code *
Your Email *
Date of Birth*
RentOwn with MortgageOwn Free and ClearOther
Years at Present Address:
Gross Monthly Salary:
Total Monthly Payments:
Have you Declared Bankruptcy in the Past 7 Years? YesNo
Is a co-signer available if needed?YesNo
Do you Have a Downpayment? YesNo
Drivers License Province of Issue:
Drivers License Class:
Drivers License Number:
Drivers License Expiry
Describe the type of vehicle you wish to purchase
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We are committed to the health and safety of our customers and our staff and are following closely both the recommendations and regulations of Government Health officials and other experts with respect to the evolving issues caused by the COVID-19 pandemic. The health and safety of our customers and our team members at Miedemas Auto Sales & Miedemas Powersports is of utmost concern to us. We would like our customers to know what we are doing including new procedures that we are implementing with this in mind:
Best practices as recommended by all levels of government are being adhered to. We care about your health and safety and we also care about our own.
Full Services Are Now Available.
Please Note The Following:
Our Sales Department continues to be available online, by phone, email, text, or video conference. If you have any questions regarding a vehicle, or other sales related questions, please email us at [email protected] or call.
Please call us with any questions you might have: (519) 940-3766