CCF Lead Capture For Car Finance 2U Title * MrMsMrsMiss First Name * Last Name * Date of Birth * Email * Driving license type * Please selectFullRestrictedLearnerNo licenseInternationalOther Employment status * Please selectEmployed full timeEmployed part timeContractorSelf employedUnemployedDisabledTemporaryRetiredWINZACCWINZ & ACCOther Approx earnings per week * Please select0 - 349350 - 499500 - 749750 - 9991000 - 14991500+ Property status * Please selectOwn with mortgageRentalLiving with partnerOwn outrightLiving with familyBoarder Rent/board/mortgage cost per week * Time at current job (years) * Please select years0 years1 year2 years3 years4 years5 years6 years7 years8 years9 years10 years+ Time at current job (months) * Please select months0 months1 month2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months How long at your current address? * Please select years0 years1 year2 years3 years4 years5 years6 years7 years8 years9 years10 years+ Months at your current address? * Please select months0 months1 month2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months Marital status * Please selectSingleMarriedSeparatedDivorcedWidowedCohabitingDefacto No. dependents * Please select1 child2 children3 children4 children5 children6 children+None Residential status * Please selectNZ citizenNZ residentNon NZ residentWork visa Visa Length (months) * Phone Number (mobile) * I agree to the Terms and Conditions * YesNo Note: Compare Car Finance will match you to one lender only who will be in touch to complete your application. If you are human, leave this field blank. Get Finance