Privacy Declaration

Declaration: I/we agree that if this application is accepted by Finance Now Limited "FNL", then I/we will be bound by the Terms and Conditions contained in the relevant Conditional Purchase Agreement or Loan Contract. I/we have read and understood the particulars which have been completed in this application form and declare that they are true and complete and have been made to FNL to enable FNL to determine whether or not to provide finance. I/we have read and understood the Privacy Acknowledgement on this form and the insurance policy booklet(s) if I have applied for insurance. Any sales voucher signed by me/us shall have no effect unless and until FNL has approved this application and the facility has come into existence. This offer may be accepted by FNL communicating such acceptance to me/us either verbally or in writing and either directly or through an agent. Where there are two applicants, it shall be sufficient acceptance of this offer if FNL communicates it acceptance to either of us.

Insurance: Where a contract for insurance is entered into with any insurer ("the Insurer") as a condition of or in conjunction with the credit facilities to which this application relates or where the premium for a contract of insurance is financed by FNL: This application constitutes all or part of the proposal for such insurance. The contract for such insurance shall be in the Insurer's current standard form, a copy of which can be obtained from FNL on request. If I/we default on any payment due under the credit facilities to which this application relates, FNL may, at its entire discretion and at any time after my/our default: (1) notify the Insurer of my/our default; (2) terminate my/our cover under the relevant insurance policy; and (3) request that the Insurer refund any unexpired portion of the premium for the relevant insurance policy to FNL and apply such refund to remedy my/our default. I/we authorise the disclosure of personal information held by any other party regarding: (1) My/our previous insurances of whatever kind and all previous claims under such insurances; or (2) any matter that the Insurer may reasonably regard as relevant to my/our insurance or any claim made there under.

To Finance Now Limited ("FNL"), 118 Spey Street, Invercargill.

Privacy Act Acknowledgement - Privacy Act 1993

Where this application has been completed by a Dealer, Vendor, Introducer or Broker, I/we authorise the Dealer, Vendor, Introducer or Broker to refer this application to FNL and it's associated insurance providers.

I/we acknowledge that the information herein contained and/or obtained pursuant hereto ("the Information") will be used for the purposes of:

1. Assessing my/our current and on-going credit worthiness;

2. Administering, financing, insuring and enforcing my/our contract(s);

3. Maintaining the integrity and effectiveness of FNL's credit records and those of credit reference agencies;

4. Marketing goods and services provided by the FNL and its assigns or related companies.

I/we irrevocably authorise FNL for any and all of the foregoing purposes:

1. To obtain information that is reasonably required concerning me/us from any source including, but not limited to, credit reporting agencies, employers, past and current credit providers. You hereby permit all of these parties to provide such information

2. To collect, retain and use the Information;

3. To provide the Information to brokers and insurers providing insurance services incidental to my/our contract(s)

4. In the event that this application is declined, to disclose the reasons for decline to the Dealer, Vendor, Introducer or Broker, as the case may be;

5. In the event of my/our default, to provide the Information (together with details of the my/our dealings with FNL) to credit reference agencies and to any person providing services to FNL in connection with my/our contract(s).

Provision of Additional Services

I/we understand and authorise that from time to time FNL may disclose my/our personal information or disclose my/our name, address and phone number to another agency, approved by FNL, for purpose of market research, offering additional credit facilities,

If you do not want to receive these additional products and services please indicate in the box provided. ﾨ

The information shall be held by FNL at the business address(es) of FNL and by other persons for the purposes described above.

Where the Information can be readily retrieved the Applicant(s) shall have access to it, the right to request correction and the right to be notified of action taken in response to any such request, subject to payment of reasonable charges.