Business Proposal Form

Please leave blank:

Company Details

Company Name:

Company Registration Number:

VAT Registration Number:

Contact Name:

Address:

Post Code:

Property Type:

Website Address:

Telephone Number:

Email Address:

Authorised Signatory:

Nature of Business:

Date Incorporated/Founded:

Company Fleet Size:

Grey Fleet Size:

Bank Details

Bank Name:

Branch Name:

Name of Account:

Sort Code:

Account Number:

Years with Bank:

Bank Address:

Bank Post Code:

Director/Partner Personal Details.

	Director 1	Director 2	Director 3
Title
Full Name (Including Middle Name)
Address
Post Code
Time at Address
Property Type
Property Status
Marital Status
Date of Birth
No. of Dependants
Tel. No.
Mobile No.
Email Address

If less than 3 years at current address, please provide previous address

	Director 1	Director 2	Director 3
Address
Post Code
Time at Address

Declaration:

I/We declare that the information supplied on the credit proposal is true and correct. I/We authorise the funder to make a credit reference search, which will be recorded by the agency. I/We are aware that credit scoring may be used in the decision making process. I/We agree that the funder can, at any time, disclose details about the application, agreement and the conduct of the account to a licenced credit agency, or HP Information PLC or introducing dealer/broker for the purposes of fraud/crime prevention tracing customers and any other legitimate purpose. I/We also acknowledge that the funder may refuse to enter into this agreement without stating a reason. I/We understand and agree that any personal details within this credit application may be passed to a third party as part of the credit process and that the details provided will not be used for any direct marketing purposes.

Name of Person Completing the Form:

Title:

Date: