DSG Auto Contracts - Car Leasing Specialists
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Online Application
Form
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Application Type
Type of Customer : *Please Choose between a personal and business application.
Business Details
Legal Business Name: *
Immediate Parent Co: if applicable
Ultimate Parent Co: if applicable
Trading Style: *
VAT No.: *
No of Cars in Fleet:
No of Vans in Fleet:
No of Employees:
Company Reg. No.: *
Company Est.Date: *Use dd/mm/yyyy format
Nature of Business: *
Business Tel No: *
Business Fax No: *
Contact Name: *
Premises: *
Latest Accounts Avail. :If available, please enter the date (dd/mm/yyyy) of the most up-to-date business accounts)
Last Annual Turnover :
Audited?
Trading Address 1: *
Trading Address 2: *
Trading Address 3: *
Trading Address 4: *
Trading Post Code: *
Applicant Details
Director/Partners:Please note that information on at least two directors or partners is required for business applications.
Main Director/Partner
Title: *
Forename: *
Middle Name:
Surname: *
Date of Birth: *
Home Tel: *
Work Tel: *
Mobile Tel:
E-Mail Address: *
Marital Status: *
Main Director/Partner Address 1Please ensure enough addresses are completed to provide 5 years of address history.
Use the "Add Address" button for additional space.
Address 1:
Address 2:
Address 3:
Address 4:
Post Code: *
Years at Address: *
Months at Address: *
Accomm Type: *
Add Address:
Vehicle Details
Make: *Choose Brand
Options:e.g. Metallic Paint, Leather Seats, 6 CD Changer etc.
Your Finance Requirements
Finance Type: *
Term: *All quotes based on 3 Advance Payments
Maintenance Pack?:
Mileage Per Year: *In multiples of 1,000 miles
Monthly Budget (£): *
Bank Details
Sort Code: *
Account No.: *
Years At Bank: *
Months At Bank: *
Additional Information
Comments:Please use this space to provide any additional information you feel will affect your application (for example, additional deposit requirements for PCP applications etc.)
The Terms of Your Enquiry

I agree that the information I provide is accurate. I understand that this information may be disclosed to credit reference agencies to assist in making credit decisions and for fraud prevention.

Agree to These Terms: *
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