Finance Proposal Form

To apply for finance simply complete the form below and a member of staff will get back in touch as soon as possible. Please double check your details before submitting your application.

 

Personal details

Title*

First name*

Initials

Surname*

Previous surname

Trading as (if company)

Marital status*

Date of birth*

Gender*

Dependants*

Contact

Home / mobile phone number*

Work phone number

Email address

Current Address

Residential status*

Address*

Postcode*

Time at current address*

Previous address (if current is less than 3 years)

Residential status

Address

Postcode

Time at current address

Employment

Employment status*

Occupation*

Employer name*

Employer address*

Time with employer*

Previous employment (if current is less than 3 years)

Occupation

Employer name

Employer address

Time with employer

Bank details

Bank name*

Sort code*

Account number*

Account name*

Time with bank*

Bike details

Description*

Total price*

Cash Deposit*

Loan term*

Finance subject to status. Terms and Conditions apply. You will not own the bike until all payments have been made. Applicants must be 18 years of age or over. Guarantees / Indemnities may be required.