Finance Details

Fill in the form details to the right, make sure all your details are correct before submitting the form.

We look forward to hearing from you and will get back to your request as soon as possible. If you have any questions please feel free to contact us.

Thank you for your interest with St Blazey MX.

Finance Details:
At St Blazey MX we use Black Horse and Santander (24 – 60 months payment option) for our finance, please contact us for anymore details.

MOTORCYCLE DETAILS

Bike Model
Bike Price
New or Used

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PERSONAL DETAILS

Full Name (as it appears on drivers licence)
Marital Status
Date of Birth (dd-mm-yyyy)
Home Phone Number
Accommodation Details
Dependents (ie. Children under 18)
Mobile Number
Email Address
Daytime Phone Number

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ADDRESS INFORMATION

Current Address

House Number / Name
Road
Town
Postal Code
Time at Address (years)
Time at Month (years)
Does your driving license show this address?

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Tick box if you have lived at your current address for less than 3 years: Tick If True

If you have lived at your current address for less than 3 years, please fill in further addresses:

Previous Address

House Number / Name
Road
Town
Postal Code
Time at Address (years)
Time at Month (years)

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EMPLOYMENT AND OCCUPATION INFORMATION

Employment Status:
Occupation:
Employers Name
Work Address Property No
Work Address Road
Work Address Town
Work Address Post Code
Time in Current Employment (years / months)

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Tick box if you have been with your current employer less than 3 years: Tick If True

Previous employer if at current employer less than 3 years.

Employers Name
Work Address Property No
Work Address Road
Work Address Town
Work Address Post Code
Time in Employment (years / months)

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BANKING AND DEPOSIT INFORMATION

Bank Sort Code
Account Number
Bank Account Name
Bank Address
Time with Bank (years)
Amount of Deposit (£)
Number of Visa Credit Cards (Number)
Number of Mastercard Credit Cards (Number)
Gross Annual Income (£)
Monthly Mortgage - Rental Expenditure (£)
Loan Required (£)
Loan Term
Are you aware of any potential changes to your personal circumstances that may impact upon your ability to make loan repayments over the term of the agreement (e.g retirement, redundancy, reduction in working hours/salary, career change or change in family circumstances?)

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