CONTRACT HIRE - APPLY ONLINE FORM

ALL DETAILS MUST BE ENTERED IN ORDER FOR US TO PROCESS YOUR APPLICATION

Mr  Mrs  Miss  Ms  Other     Marital Status               ADi  PDi

 First Name:          Surname:                                                               Email Address:    Date of Birth: Day  Month  Year:                                    Home Tel No:        Mobile Tel No:                                    Residential Status:                       How long have you lived at current  address: Years Months:

Please enter Current address:                                                                If you have lived at your current address less than 3 years:

Address:                      Address:                     Postcode:                                                       Postcode:

Bank Account  Details:   Account Name:      Account Number:    Sort Code:

Please enter your required vehicle details:   Vehicle:        Make & Model:    Fuel:         Doors:                     length of contract:        Colour:                  Insurance required: 

Car Required Date:    Other details:

Once we have received your details and completed a credit check we will contact you to confirm the details of your requested vehicle. We will thentake the £150.00 deposit and £40.00 administration fee from you.  PLEASE NOTE: We only use your bank details to process a credit check. We are unable to take any payments

  Data Protection Notice 1998 

The information you have provided on this form will be disclosed to lenders for the purpose of considering this credit application. Lenders may use this information to carry out searches with reference agencies. A record of these searches will be kept and may be used by other lenders in accessing applications from you and members of your household for credit in the future. Lenders will crosscheck this information with other lenders to prevent fraud and may use this information for statistical and marketing purposes. The deposit bond of £150.00 is only refundable after you have returned your contract hire vehicle in a satisfactory condition. Cancellation of contract prior to collection/delivery of vehicle will result in the forfeit of the £150.00 deposit bond and £40.00 administration fee.  

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