Applicant Information Please enable JavaScript in your browser to complete this form.NameFirstLastDate Of Birth *Email *Cell PhoneHome PhoneCitizenship / Immigration Status *SelectResident AlienNonresident AlienUS CitizenNoResidential InfoAddress (No P.O. Boxes Allowed) *Address Line 1Address Line 2CitySelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCounty *Residential Status *SelectRentOwnLiving Rent FreeTime at Residence *Monthly Housing Payment *Check if Different Mailing AddressAddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployment and IncomeEmployer NameLength of employment *Work Phone *Job Title / OccupationMonthly Gross Income *Other IncomeOther Income SourcePrevious Employer *Length of Service with Previous Employer *Previous Employer Phone *Nearest Relatives Name *FirstLastNearest Relatives Phone *Jet Ski InfoWhich Krash Model are you Buying? *SelectReaperPredatorFootrocketFootrocket ProFinancial InformationRequested Term in Months *Down Payment *By clicking SUBMIT, you agree to the following statements: You have informed the applicant(s) that this Application for Credit ("Application") is to First Community Bank, Batesville, Arkansas. You have reviewed this Application with the applicant(s), and everything stated in it is true. You have obtained the consent of the applicant(s) for First Community Bank to check his/her credit, employment history, or any other information, and to report such information, and its credit experience with him/her, to others. Applicant(s) is at least 18 years of age. You have obtained certification that the property purchased pursuant to this application is for the applicant's personal and/or business use; the applicant(s) is fully responsible for making all payments for such property; that such property will be in the applicant's possession or under his/her control until the amount financed and all finance charges have been paid in full; and that the applicant(s) is not purchasing any property financed through First Community Bank. Applicant(s) understands that he/she must update credit information at First Community Bank's request if his/her financial condition changes.Krash Industries is committed to providing quality services to you and this policy outlines our ongoing obligations to you in respect of how we manage your Personal Information. We have adopted the Australian Privacy Principles (APPs) contained in the Privacy Act 1988 (Cth) (the Privacy Act). The NPPs govern the way in which we collect, use, disclose, store, secure and dispose of your Personal Information. A copy of our Privacy policy can be found at https://krashindustries.com/privacy-policy/. A copy of the Australian Privacy Principles may be obtained from the website of The Office of the Australian Information Commissioner at www.aoic.gov.au. Captcha * = CommentSubmit Finance Calculator PWC Model Predator Foot Rocket 50 CAL Reaper Foot Rocket Pro Price of PWC Finance Rate % Less Deposit Less Trade In Allowance Monthly payment payment protection, presuming a typical APR of 5.99% 12 months /month 24 months /month 36 months /month 48 months /month 60 months /month Total cost of the credit: Check/uncheck this box to view figures with/without Payment Protection