Vehicle Description

Island Car Centre Have ***S2 PBM*** Number Plate For Sale. Call 01983 721125 If Interested

Or Visit Us At…

Island Car Centre
Main Road
Rookley
PO38 3NG

Vehicle Specifications

• Registration date:
• Mileage:
• Exterior Color:
• Interior Color:
• Transmission:
• Engine:
• Fuel:

Island Car Centre Finance Quotation

Details about You

Full Name *

Date of Birth

Number of Dependant Children

Marital status

Landline/Mobile Phone Number *

Email Address *

Preferred method of Contact *

Phone

Email

Text

Monthly Budget (If Applicable)

Do you have any poor credit? (We can still get an acceptance for you but need to know for the application) YesNoUnsure/Never had Credit

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Your Address Details

Your Address *

Length of Time at this Address * 1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years or more

Owned/Rented/Living with Parents * OwnedRentedLiving with Parents

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Your Previous Address Details (If Applicable)

Please move onto the next section if this is not applicable.

Please Note: If applicable we need at least 3 years of previous addresses and 3 years previous employment details (next section) in order to process your application.

Your Previous Address

Length of Time at this Address 1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years or more

Owned/Rented/Living with Parents OwnedRentedLiving with Parents

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Your Current Employment Details

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Employer Name

Employer Address

Employer Telephone Number

Job Title/Occupation

Annual Salary

Do you have proof of your income (bank statements/payslips etc) YesNo

Length of Time with Employer

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Your Previous Employment Details

Please move onto the next section if this is not applicable.

Please Note: If applicable we need at least 3 years of previous addresses (previous section) and 3 years previous employment details in order to process your application.

Previous Employer Name

Previous Employer Address

Previous Employer Telephone Number

Previous Job Title/Occupation

Previous Job Annual Salary

Do you have proof of your income (bank statements/payslips etc) YesNo

Length of Time with Previous Employer

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Your Bank Details

Bank Name *

Branch Area *

Length of time with bank *

Account Number *

Sort Code *

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New Vehicle Details

Car Details (Make/Model)

Cash Deposit

Part-Exchange Vehicle Make and Model

If applicable

Part-Exchange Vehicle Registration

If applicable

Part-Exchange Vehicle Mileage

If applicable

Finance owed on Part-Exchange

If applicable

By applying for finance using this form, you consent to searches being carried out against you with licensed credit reference agencies and these agencies will retain a record of this information for other lenders/agencies to see. We will delete any information that you submit on this form once these searches have been made. For further details please click here to see our privacy policy. *

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By submitting this form you are giving Island Car Centre consent to forward your details to our carefully selected finance company and to also contact you regarding your application using your preferred method of contact.

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