Proposal Form

Applicant's Name:*
Limited Co. Name:
Please Confirm:*

Sole TraderPartnershipLtd CompanyLLP
Practice Name & Trading Address:*
Postcode:*
Year Established:
Professional Body Registration Number (if applicable):
Phone Number:*
Format: 00000 000 000.
Mobile Number:*
Format: 00000 000 000.
Email Address:
example@example.com
Equipment Details:
Cost:
VAT:
Total INC. VAT:
Deposit:
Amount to Finance:
Repayment Term Preferred:
Personal Details (Full Name):*
Date of Birth:*

DayMonthYear
Date
Home Address:*
Post Code:*
Move in Date (if less than 3 years):

DayMonthYear
Date
Previous Address:
Mobile Number:*
Format: 00000 000 000.
Email:*
example@example.com
Add 2nd Shareholder?

YesNo
Personal Details (2nd Shareholder) Full Name:*
Date of Birth:*

DayMonthYear
Date
Home Address:*
Post Code:*
Move in Date (if less than 3 years):

DayMonthYear
Date
Previous Address:
Mobile Number:*
Format: 00000 000 000.
Email:*
example@example.com
Add 3rd Shareholder?

YesNo
Personal Details (3rd Shareholder) Full Name:*
Date of Birth:*

DayMonthYear
Date
Home Address:*
Post Code:*
Move in Date (if less than 3 years):

DayMonthYear
Date
Previous Address:
Mobile Number:*
Format: 00000 000 000.
Email*
example@example.com
Any other relevant information:
Marketing consent: I’d like to be contacted with the latest news and offers from Close Brothers Limited by:

PostTelephoneEmail
I’d like to be contacted with the latest news and offers from other members of the Close Brothers Group Plc relating to asset finance services, financial advisory and investment services, deposit account services and/or premium finance services by

PostTelephoneEmail
To find out more about how your personal data will be used by Close Brothers please visit the privacy section of the Braemar Finance Website ‐ https://www.braemarfinance.co.uk/privacy
I confirm that Braemar Finance has the authority to seek a credit check for this Finance Application using credit reference agencies and that the marketing preferences selected are correct.
Name:*
Position:*
Signature:*
Date*

DayMonthYear
Date
Braemar Finance is a trading style of Close Brothers Limited and is the lender for this promotion. Close Brothers Limited is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority.

Finance is only available to UK residents over 18, subject to status, terms and conditions apply.

For more information visit www.braemarfinance.co.uk.
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