Business Proposal Form
Dealer Details
Dealer/Broker
*
Contact
*
Supplying Dealer
*
Telephone no.
*
Date
*
-
Month
-
Day
Year
Date
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Company Details
Type
*
Limited Company
Partnership
Sole Trader
Full Company Name
*
Registered Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Company Registration no.
*
Contact Name
*
Position
*
Office tel no.
*
Mobile tel no.
*
No. of years trading
*
Is trading address the same as the registered address?
*
Yes
No (if no, complete below)
Trading Address (only answer if different from registered address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Vehicle Details
New or Used
New
Used
Make
Model
Derivative
Millage
Registration no.
Date first registered
-
Month
-
Day
Year
Date
Colour
Extras
Financial Details
Total cash price (£)
Cash Deposit (£)
Part Exchange (£)
Settlement (£)
Total Deposit (£)
Amount of Credit (£)
Finance Product (£)
Gap/Warranty (£)
Rate (£)
Period (£)
Balloon (£)
Monthly Payments (£)
Make
Model
Registration no.
Customer Bank Details
Bank Name
*
Branch
*
Account name
*
Account type
*
Partner(s)/Director(s) Details
Full Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Time at address
*
Residential Status
*
Date of Birth
*
-
Month
-
Day
Year
Date
Home tel no.
*
Mobile tel no.
*
Email
*
example@example.com
Previous Address (if less than 3 years)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Time at address
Annual Salary
*
Country of birth
*
Length of time at company
*
Shareholding (%)
*
Business Accounts
*
Browse Files
Cancel
of
Signiture
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: