Get In Touch
First Name*
Last Name*
What is your Email?*
Phone Number*
Privacy Consent*
I have read, agree, and consent to Safelend Canada's
Privacy Policy | Safelend Canada
and
Terms of Use | Safelend Canada
Marketing Consent
I agree to receive marketing communications from Safelend Canada. You can unsubscribe at any time by clicking the link in the footer of any email you receive from us, or by contacting us at
contactus@safelendcanada.ca
Did You Know You Can Refinance Your Current Auto Loan?
Yes
No
Is your vehicle currently financed?
Yes
No
What Type Of New Payment Would You Prefer?
Lower Payment and Same term
Same Payment with Shorter Term
Longer Term and Even Lower Payment
How Long Have You Had Your Auto Loan For?
0-8 Months
9 Months - 1 Year
1 Year - 2 Year
Over 2 Years
What Model Year is Your Vehicle?
Select model year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
What Is The Mileage On Your Vehicle?
What Is Your Current Interest Rate?
Below 10%
10% to 14%
14% to 19%
20% and above
What is your Auto Loan Payment Frequency?
Monthly
Bi Weekly
Semi-Monthly (ex. 1st and 15th of each month)
Amount owing - Approx. How Much do You have Owing On Your Current Auto Loan?
Residential Status
Select Residential Status
Rent
Own with Mortgage
With Parents
Other
Home Address?
Time At Residence?
Less than 2 Years
2 - 5 Years
6+ Years
What was your previous address?
What is your Monthly Rent / Mortgage Payments?
$0
$100 - $500
$500 - $1000
$1000 - $2000
$2000+
Employed for 2+ years?
Yes
No
Previous employer name
Monthly Gross Income (all incomes, excluding employment insurance)
Employment type
Employed
Self Employed
Retired
Other
Employer Name and Address? (If Self Employed please tell us your company name)
What Is Your Job Title?
What is your date of birth?
