FINANCE ENQUIRY

Please complete the form to include the make/model of vehicle you wish to purchase.

About you First Name*   Surname* Contact Telephone Number * Mobile Number * Address Email Address * Date of birth DD/MM/YYYY Home Status Owner Tenant With Parents Postcode Time at current address Years: Months:   Marital Status Married Single If less than 3 yrs at current address please complete previous address in the dark grey box. Previous address: (only complete if less than 3 yrs at current address) Post Code    Time at Previous Address Years: Months: Employment Details Occupation Time With Employer Years Months If Less Than 3 Years Please Give Previous Occupation & Employer Previous Occupation: Previous Employer: Time with Previous Employer: Years Months   Employed Self Employed Employers Name & Address Post Code Telephone No Paid monthly weekly fortnightly Net Income Per Month/Fortnight/Week* Period depending on previous question £ What bank do you use How long have you been with them months What credit cards do you currently hold (e.g. Visa & MasterCard?) Preferred Choice of Vehicle Make Model Petrol Diesel Preferred Year (e.g.1997) Manual Automatic Plate Letter (e.g P) Type (i.e. 4x4/Convertible/Estate?) Colour Likes Amount you wish to finance £ What is your estimated monthly budget? e.g.£200 per month Colour Dislikes Contact Information How would you like to be contacted Phone Post Email When would you like to be contacted Date Time Please note: Whenever possible we will endeavour to contact you at this time and date. *Denotes mandatory fields