Finance Application Form

Finance Application Form
Just fill in your details below to apply for finance. Please note we will use this information to run a credit check on the applicant
Finance Term*
Make*
Model*
Finish/Colour*
If black remember to state black satin or polish
Piano Price*
Deposit (min 10%)

Personal Details
Full Name*

TitleFirst NameLast Name
Date Of Birth*

DayMonthYear
Are you of British Nationality?*
Do you need a visa to work in the UK?*
Does your visa have an expiry date?*
What is your visa's expiry date?*

MonthDayYear
What is the visa reference number?*
Marital Status*
Number of Dependents*
Home Owner Status*

Contact Details
E-mail*
Home telephone*

Area CodePhone Number
Mobile telephone*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

TownCounty

Post codeCountry
Have you lived at this address for 3 years or more?*
We need 3 years of address history in order to process an application - please call us on 01932 866577

Employment Details
Employment Status*
Gross Annual Income*
Employer Name*
Trading Name*
Source of income*
Occupation*
How long have you been doing this?*
Please answer in years and months
Employer Address*

Street Address

Street Address Line 2

TownCounty

Post CodeCountry
Work telephone*

Area CodePhone Number

Bank Details

This is the account you wish to use for the monthly payments
How long have you had this account?*
Please answer in Years and Months

Process Your Application
That's all we need...

Before you press next to continue, you should be aware that in order to assess your application, credit and fraud databases will be searched and a log of this search will be left on your credit file.

Go Paperless - As part of our commitment to keep things as simple and efficient as possible, we are moving towards becoming paperless. This means that we will be sending out statements electronically.

To opt in to electronic communications, simply tick the box below.

By signing this credit agreement, you agree to receiving from us electronic mail, including documentation relating to this credit agreement.
Yes, I understand my credit file will be searchedYes, I want to go paperless
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