Limited Company Proposal Form

CONTACT NAME: (*)

COMPANY NAME: (*)

TELEPHONE NUMBER: (*)

FAX NUMBER:

EMAIL ADDRESS: (*)

JOB TITLE:

COMPANY ADDRESS: (*)

NATURE OF BUSINESS:

 

COMPANY NUMBER:

VAT NUMBER:

PROPERTY:

FLEET SIZE:

SHARED CAPITAL:

REGISTERED ADDRESS:

 


TITLE: (*)

FULL NAME: (*)

ADDRESS: (*)

TIME AT ADDRESS: (*)

PRESENT TENURE: (*)

DATE OF BIRTH: (*)

MARITAL STATUS: (*)

DEPENDANTS:

PREVIOUS ADDRESS: (If less than 5 years)

PREVIOUS TENURE:

 


TITLE:

FULL NAME:

ADDRESS:

TIME AT ADDRESS:

PRESENT TENURE:

DATE OF BIRTH:

MARITAL STATUS:

DEPENDANTS:

PREVIOUS ADDRESS: (If less than 5 years)

PREVIOUS TENURE:

 


VEHICLE MAKE:

VEHICLE MODEL:

ANNUAL MILEAGE:

CONTRACT TERM:

COLOUR PREFERENCE:

PRICE PER MONTH or BUDGET:

 


The following declaration is required under the Data Protection Act 1984/1988 and GDPR Guidelines before any credit application can be processed that might require searches of partners/directors/sole traders/individuals/financial associations. I can confirm that the information I have provided is true and complete. I confirm that I give express permission to Cocoon Vehicles Ltd to conduct personal searches or to provide third party finance houses or credit reference agencies this information for the specific purpose of ascertaining credit worthiness. For security purposes the IP address of the device you send the application from will be logged on system.

I accept the above declaration (*)

SIGNATURE: (*)

 


All fields marked with (*) are REQUIRED fields and must be filled in to successfully send the application