Online Loan Application

Welcome to the Australian Motorcycle & Marine Finance (AMMF) online loan application form. On completion of your application you will be contacted by our friendly direct sales team. (Terms and conditions apply.)

Tips for completing this form:

Thank you for your application. We look forward to doing business with you.

block-name
forms
formsTheme
bg-white
title
Applicant Information
action-type-yamaha-mail-subject
This is the test mail
action-type-yamaha-mail-from
noreply@yamaha-motor.com.au
action-type-yamaha-mail-to
  • shashi.roushan@iamhelium.com.au
form-id
application-information
form-options
twoColumn
drop-down
horizontal
What would you like to finance?
false
finance
true
Please select what would you like to finance

true

true

Select...

select

false

false

Motorcycle

motorcycle

false

false

ATV/ROV

atv-rov

false

false

Marine Package

marine-package

false

false

Outboard Motor

outboard-motor

false

false

Personal Watercraft

personal-watercraft

false

false

Other (not listed above)

other

form-text-field
twoColumn
text
2
First Name
false
firstName
200
only-alphabets
true
Please enter a valid first name
true
Please fill the first name
false
form-text-field
twoColumn
text
2
Last Name
false
lastName
200
only-alphabets
true
Please enter a valid first name
true
Please fill the last name
false
form-text-field
twoColumn
text
2
Phone Number
false
phoneNumber
200
au-mobile
true
Please enter a valid phone number
true
false
form-text-field
twoColumn
text
2
Email Address
false
email
200
none
true
Please enter a email address
true
Please enter a email address
false
postcode
twoColumn
Postcode
form-options
twoColumn
drop-down
horizontal
When do you plan to make your purchase?
false
purchasePlan
false

true

true

Select...

select

false

false

As soon as possible

soon

false

false

1 month

1-month

false

false

3 Month

3-month

false

false

Later. I am researching only

researching

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twoColumn
textarea
1
Which brand are you looking to buy?
false
brandPreference
100
none
true
false
false
form-text-field
defaultLayout
textarea
3
Your message (optional)
false
message
200
none
Tell us more about your enquiry...
true
false
false
form-options
defaultLayout
checkboxes
horizontal
Disclosure Consent
true
disclosureConsent
true
The disclosure consent field is required.

false

false

I agree that I have read and understood the AMMF Privacy Act Authorisation and Disclosure Statement

true

form-hidden
site-name
ammf
form-options
defaultLayout
checkboxes
horizontal
Marketing Consent
true
marketingConsent
false

false

false

Tick here if you do not wish to receive direct marketing communication from AMMF, AMMF’s related companies, joint venture partners, its agents or contractors.

true

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submit