Surrogate Auto Shopper Request Form

Prior to using the Surrogate Auto Shopper service, you will be asked to seek a pre-approval for an LBS Financial Credit Union Auto Loan.  Apply for an Auto Loan Now!

Complete the form below, click the "Submit" button and this form will be sent to Denise.  She'll work hard to put you in the car of your dreams!

*required fields

Street Address: City:
State: *Zip:
Home Phone Number: () *Email Address:  
Work Phone Number: ()    
Cell Phone Number: ()    
Loan Status:

Tell us about your Vehicle

Make: Model:
Year: Color::
Equipment (include alarms, warranty, etc.):

Any other comments or special instructions: