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Proposal Form

Name of Supplier
Customer Name - full trading name
Full trading address 1
Full trading address 2
Full trading address 3
Post code
How long at this address - years
Terms of unexpired lease - months
Telephone number
Fax number
Contact name
Type of business
Company registration number
Date Established
Principal director/partners 1 D.O.B.
Principal director/partners 2 D.O.B.
Private address 1
Private address 2
Private address 3
Post code
Home owners
Previous address if at current address
less than 3 years
Value of propery/mortgage outstanding
Name of bankers
Bankers address 1
Bankers address 2
Bankers address 3
Post code
Full description of equipment
Location of equipment
Capital value £
Payment profile