Apply for your own Forlongs Account

Please complete the online form below, including all the required information, and once submitted we will contact you to complete the assessment process. In most cases, you can expect to receive a decision or contact regarding your account application in 1-2 working days.

 

Please note all fields are compulsory.
If you are unable to upload the required documents, please email instead to [email protected]
If you have any questions please contact our customer service team on [email protected] or Ph 07 847 9089 ext. 8.

 
 

Your Details

Title *
 
First Name *
 
Middle Name
 
Last Name *
 
Date of Birth *
 
Please Attach Drivers Licence or Passport *
Please attach a photo of your Drivers License or Photo page of your Passport
 
 
 

Current Residential Details

Unit/Flat
 
Street Number *
 
Street Name *
 
Suburb
 
City *
 
Time at Current Residential Address *
 
Landline Phone
 
Mobile Phone
 
Preferred Contact Phone *
 
Email Address *
 
Please Attach Proof of Address
Please attach a copy of your power bill, rates invoice, payslip or bank statement. If you are unable to upload a copy, please email this through to [email protected]
 
 
 

Current Postal Details:

Same as Above? *
 
Unit/Flat
 
Street Number *
 
Street Name *
 
Suburb
 
City *
 
 
 

Renters & Boarders

Are You Renting or Boarding? *
 
Agent/Landlord's Name *
 
Agent/Landlord's Phone *
 
$ Rent Payments *
 
Payment Frequency *
 
 
 

Residency

Are You a Permanent NZ Resident? *
 
Are You on a Work Permit? *
 
If You Were not Born in NZ, How Long Have You Been Here? *
 
If on a Work Permit, When Does it Expire? *
 
If you are not a permanent NZ Resident please bring your passport with you when you finalise setting up your account.
 
 

Marital Status

Current Status *
 
Partner's Name *
 
Partner's Phone Number *
 
Partner's Work Place *
 
Partner's Occupation *
 
Does Your Partner Have a Forlongs Account? *
 
 
 

Current Employment Details

Income Source *
 
Current Employer *
Employer/Business Name
 
Contact Person *
 
Employer's Address *
 
Phone *
 
Occupation *
 
Time with Current Employer *
 
Please bring in Financials from Accountant when you finalise setting up your account.
 
 

Previous Employment Details

If current is less than 4 months.

Previous Employer *
Employer/Business Name
 
Full Name *
 
Employer's Address *
 
Phone *
 
Occupation *
 
Time with Previous Employer *
 
 
 

Referees

 
 

1. Nearest Living Relative in NZ

Not living at the same address as you.

Title *
 
First Name *
 
Last Name *
 
Current Residential Address *
 
Contact Phone Number *
 
Relationship to You
ie. Brother, Daughter, Cousin
 
 
 

2. Nearest Living Relative or Friend in NZ

Not living at the same address as you or the first person stated.

Title *
 
First Name *
 
Last Name *
 
Current Residential Address *
 
Contact Phone Number *
 
Relationship to You
ie. Brother, Daughter, Cousin
 
 
 

Income Details

We require this information to consider your credit risk and ability to make repayments going forward.
This information is used when considering your account credit limit.

How Often Are You Paid? *
 
Please Attach Supporting Bank Statements *
Please attach a csv or pdf of your full bank statements for last 2 months.
 
Your Annual Income (before tax) *
 
Your Partners Annual Income (before tax) *
 
 
 

Your Assets

Do You Own a House? *
 
Do You Have a Mortgage? *
 
Which Bank Holds This Mortgage? *
IE. BNZ, ASB, TSB etc
 
Do You Own a Vehicle? *
 
Registration *
 
Do You Own a 2nd Vehicle? *
 
Model *
ie. Mazda 6
 
Year *
YYYY
 
Value *
 
Registration *
 
 
 

Your Outgoings

Do You Have a Loan From a Finance Company? *
 
What is The Name of That Company? *
 
$ Loan Amounts *
 
Repayments *
$ per week/month
 
Do You Have Any Other Loans From Finance Companies? *
 
What is The Name of That Company? *
 
$ Loan Amounts *
 
Repayments *
$ per week/month
 
Do You Have Any Other Loans From Finance Companies? *
 
What is The Name of That Company? *
 
$ Loan Amounts *
 
Repayments *
$ per week/month
 
Do You Hold Any of These Credit Cards?
 
Combined Credit Card limit *
 
Combined Current Card Balance *
 
Do You Have Any Outstanding Debts to Veda/Baycorp? *
 
 
 

Your Spouse/Partner or Emergency Contact Person

Full Name *
 
Relationship to You *
ie. Brother, Daughter, Cousin
 
Contact Phone Number *
 
 
 

Subscription Preferences

Would you like to receive your account statement via email? *
If you choose Yes your account will receive a $5 credit automatically
 
Would you like to subscribe to our promotional emails re:special offers and interest free deals *
 
 
 

Privacy Consent

The information submitted in this form will be used by the lender for the following purposes:
Assessing your credit worthiness, administering and enforcing your card account including updating and enforcing accounts and credit records with external agencies. You authorise the lender to obtain information about you from other sources as the lender reasonably requires, retain and use information about your card account and you, provide this information to related companies and agencies for the purpose above. Such information may be used in updating and maintaining credit reporting agencies files and databases, which are accessible to their customers. All such information will be held by the lender at its business address. 

I apply for credit from Forlongs Furnishings Limited ("the lender"). The information contained in this application is true and correct. I am not an undischarged bankrupt. I accept the terms and conditions applying to Card use and agree to the privacy statement (opens in a new window).

Your Name *
 
Date *
 
Your Drivers Licence Number *
 
Your Drivers Licence Version Number
 
 
 
 
Confirmation Code
This system prevents spamming, please enter this code in the box below
Confirmation Code
 
Enter Code *
 
 
 
 
Call us on phone: 07 847 9089
 
 
Visit our family owned store and talk to our experienced staff today
 
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