MortgageABC Form

1

Which of the following is most important to you? * This field is required.

Securing a lower interest rate

Reducing my mortgage term

Accessing cashback options

2

BeQuick Media

3

What's the value of your property?* This field is required.

Approx. Property Value

4

How much is left on your mortgage?* This field is required.Approx. Mortgage Value

€0 - €150,000

€150,000 - €250,000

€250,000 - €400,000

€400,000+

5

What is your exact mortgage balance (if known)?Skip if unsure

6

What's your current mortgage interest rate? * This field is required.Your best guess is fine.

Your best guess is fine

7

How many years are left on your mortgage? * This field is required.

Your best guess is fine

8

Do you work in the Public Sector?* This field is required.

YESNO

9

Do you know the date when your fixed term mortgage interest rate ends?* This field is required.Do you know when you could be stuck paying variable rates?

Yes

No

Not Sure

10

What's your name?* This field is required.

First Name

Last Name

11

Where can we send your results?* This field is required.

yourname@example.com

12

What's the best way to reach you if we require additional information?* This field is required.

Please enter a valid phone number (e.g., 0831234567)