Contact us Call me back 0870 850 7904 CapEX Direct Proposal Form Download this form Date (DD/MM/YY) Dealer Contact CCL Number Name   Dealer Name Email   Tel No.     Vehicle Details Make Model New Used Current Mileage Reg Date Reg Number Company / Employment Details Company Name Address       Post Code Telephone No. If Ltd, Company Reg No. Business Occupation Years In Business Employment Status Employed Self-employed Previous Employment (if less than 3 years) Company Name Address       Post Code If Ltd, Company Reg No. Business Occupation Years In Business Employment Status Employed Self-employed Director / Personal Details Name Date of birth Address       Post Code Telephone No. Guarantee offered Yes No Home Owner / Tenant Time in Residence Previous Address (if less than 3 years) Address       Post Code Home Owner / Tenant Time in Residence Bank Details Name of Bank Branch Account Number Sort Code Years with Bank Finance Details Please Select HP Finance Lease Contact Hire Lease Purchase   Basic Price £ VAT £ Non VATable Amounts £ Total OTR Price £ Deposit Available £ Proposed Balance £ Repayment Term Required £ Rate Quoted £ Monthly Repayment £ Balloon Payment (if applicable) £ Proposed Annual Mileage (if applicable) £ By submitting a proposal which includes information about and individual, the originator confirms that they have told the individual that searches will be carried out against him by licence credit reference agencies and that a record will be kept on file which may be used by third parties for fraud prevention purposes.   Asset Leasing | Finance Leases | Business Finance UK | Funding Solutions | Sitemap | Links Authorised & regulated by the Financial Services Authority (FSA) for non investment contracts - No. 474061