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Address_________________________________________________________________________________________________
Post Code __________________________
Telephone (HOME)______________
Email _____________________________
Mobile _____________________
Employment Details
Address _________________________________________________________________________________________________
Post Code __________________________
Telephone ______________________
Occupation ____________________________________________________
Annual Salary ____________________________
Fax ________________________
Telephone _____________________
Fax ________________________
Occupation_______________________________________________________________________________________________
Bank Details
Bank _________________________________
Branch ______________________________
Account No _____________
Vehicle Details
Colour ____________________________
Trim ________________
Options/Extras ________________________________________________________________
Maintenance Yes : No
I hereby submit this proposal form confirming my intention to lease the above vehicle(s). I understand in order to assess my application for finance you may
search the files of any licensed credit agency who will keep a record of that search. I declare that the above information is true and accurate.
Signed :
Name :
Conc. No
Doc. Fee
Cust. No
PPM
OTR
Ref.
Fin. Co