Contact Info

First Name*

Last Name*

Email Address*

Phone #*

Street Address*

Address line 2

City*

State*

Zip Code*

Date of Residency

This is the date you started living at your current residence

Monthly Rent/Mortgage

Social Security #*

Date of Birth*

Employment info

Employer Name*

Employer Phone #

Gross Monthly Income*

Additional Income

Date of Employment

Tell us about the vehicle you want

Total Loan Amount*

How should we contact you?*

I agree to give permission for the above applicant(s) Consumer Credit Report(s) to be obtained, at no cost to me, in order to help determine the types and extent of financing which are available*

[Optional] I consent to receiving telemarketing calls or texts at this number using an automatic telephone dialing system by, or on behalf of, Hyundai and its authorized dealers. I understand I do not have to consent in order to submit a lead, receive contact from the dealer, or purchase any products or services. Carrier charges may apply. By submitting your information, you agree to the sharing of your information between Hyundai Motor America and its authorized dealers.*

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