60 Second Inquiry Form
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Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Home Loan amount
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
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Algeria
American Samoa
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Anguilla
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Montserrat
Morocco
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Other
Country
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Do we have your consent to refer you to the bank through the refunds2u option where you could receive a refund?
Yes
No
Finance is required for:
*
Purchase / Construction
Refinance of existing loan
Other
If refinance, who is the existing loan with?
I am aware that Refunds 2 U receives a commission from the banks and that they will pay me a refund equal to 50% of the commission at least 1 month after my loan settles.
*
Yes
No
Which bank/s would you like to discuss your home loans needs? Select any 2.
*
NAB
Rams
St George
ANZ
Westpac
CBA
Liberty financial
Bankwest
I am:
Self Employed
PAYG employee
Any further details you want to tell the bank?
I will need to speak to someone about insurance
Home and Contents
Life Insurance
Mortgage Insurance
Landlord Insurance
Income Protection
Other
would you recommend Refunds2U to your friends
Yes
No
Would you be interested earning money as a Refunds 2 U Franchisee.
*
Yes
No
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