(252) 946-3000 - Sales
(252) 944-5848 - Steve
(252) 946-4777 - Fax
24 Years of Excellence! Buy Your Next Vehicle From The Best at Coastal Car Connection

Credit Inquiry Form

Please fill out form completely

By submitting this form, you authorize us to share your nonpublic personal information with affiliated and/or nonaffiliated third parties. I understand that in checking this that you may be better able to serve me and that I may receive offers for other products and services that may be of value to me. Please read our privacy policy for more information regarding your rights and how we use the personal information you submit to us.


This application for credit may be submitted by the Dealer to various financial institutions. Before this application is submitted, the Dealer will disclose to you the name and address of the institution(s) who will receive copies of this application.

By clicking on the 'submit' button I certify that the information entered to be true and correct and I hereby authorize you to use this information to perform a credit rating check of my personal credit. I also certify that I am over the age of 18 and am a current U.S. citizen or permanent resident. In addition, I understand that submitting the above information does not represent an obligation by any party to provide credit nor does it obligate me to accept any credit offered.

Full Name
E-Mail Address
Home Phone
Work Phone
Place of Employment
Time Employed There
Monthly Income
Loan Amount Requested
Down Payment


Coastal Car Connection, Inc.

Coastal Car Connection Inc
500 W 5TH ST.
Washington, NC 27889

(252) 946-3000
(252) 944-5848
(252) 946-4777
Mon: 9:00AM - 6:00PM
Tue: 9:00AM - 6:00PM
Wed: 9:00AM - 6:00PM
Thu: 9:00AM - 6:00PM
Fri: 9:00AM - 6:00PM
Sat: 9:00AM - 2:00PM
Sun: Closed
Customer Satisfaction is Job One ! ! !