Scorpion Leasing Ltd, Business & Personal Contract Hire and Vehicle Leasing


BUSINESS APPLICATION FORM

* = required field
MAKE & MODEL OF VEHICLE *
   
- - - - - - - - COMPANY DETAILS - - - - - - - -
COMPANY NAME *
TRADING AS (if different)
REGISTERED NUMBER
VAT NUMBER
TRADING STYLE *
NATURE OF BUSINESS *
DATE ESTABLISHED *
FINANCIAL YEAR END
COMPANY ADDRESS (inc postcode)*
PROPERTY STATUS * Owned Rented    
TIME AT ADDRESS *
Previous address if less than 3 years at present location (include time at prev address)
COMPANY PHONE NUMBER *
CONTACT NAME *
PREFERRED CONTACT NUMBER
EMAIL ADDRESS *
 
- - - - - - - - 1ST DIRECTOR/PARTNER DETAILS - - - - - - - -
SALUTATION *
FULL NAME *
DATE OF BIRTH * dd/mm/yy
MARITAL STATUS *
HOME PHONE NUMBER *
PROPERTY STATUS *
CURRENT ADDRESS *
POSTCODE *
 
TIME AT ADDRESS *
Previous Address
(if less than 3 years at current address, include time at this address)
 
 
- - - - - - - - 2ND DIRECTOR/PARTNER DETAILS - - - - - - - -
Salutation
Full Name
Date of Birth dd/mm/yy
Marital Status
Home Tel No.
Property Status
Current Address
Post Code
Time at Address
Previous Address (if less than 3 years at current address)
 
- - - - - - - - COMPANY BANK DETAILS - - - - - - - -
(Please note we require these details to carry out the credit check)
BANK NAME *
BANK ADDRESS *
ACCOUNT NUMBER *
SORT CODE *
TIME WITH BANK *
 Years Months
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Additional Information

 

 
Before, submitting, please tick this box to confirm that you have read and understood the data protection act as it pertains to any information you submit.

 
We can quote on ANY make or model so if you don't see the vehicle you're looking for please call 0333 6666 333 or CLICK HERE to request a quote
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All images and descriptions on this site are for illustration purposes only and may not reflect the actual specification. All offers are subject to change at any time and are subject to finance approval and vehicle allocation. All prices listed are based on monthly payments and are correct at time of publication. E & OE. All figures shpown are monthly payments. All Business Contract Hire pricing shown is exclusive of vat and with 3 payments in advance. All Personal Contract Hire pricing shown is INCLUSIVE of vat @ 17.5% and with 3 payments in advance. Different terms, mileages & contracts are available upon request.

 
Scorpion Leasing Limited © 2008 | Registered in England | Company registration number: 06577892
Consumer Credit Licence number: 617594 | Data protection register: Z1322126
Contact us | Fax 0333 6666 334 | Tel 0333 6666 333