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application form

Please fill in the form below and one of our advisors will get back to you.
If you haven’t seen exactly what you are looking for we can usually still help.

PART 1: Vehicle Details
Vehicle: 2009 ** SOLD ** RENAULT MEGANE 1.6 16V Expression 5dr Hatchback
Description: 5 Door Hatchback, Black, Petrol, Manual, PAS, Rear wiper, Height adjustable drivers seat, Rear electric windows, Front head restraints, Full size spare wheel.
Deposit:* £895-995
Weekly Payments of:* £62 for 30 months
Final Payment of: £395
* Please note finally agreed deposit and weekly payments are subject to status

PART 2: Your Details
Name: * required
Street Address:
Postcode:
Time At Address:
Date Of Birth (DD/MM/YYYY):
Telephone / Mobile:
Email: *required
Occupation:
Employer:
Time Employed:
Can you provide wage slips?
Property Status:
Comments:

PART 3: Do you have a car to part exchange?
If you do please fill in the following and we will value your car.

Make
Model
Registration No:
Mileage
MOT Expiry
General condition Excellent
Good
Average
Poor

PART 4: How did you hear about us?

Google Search
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Other

If you found out about us through the Recommend a Friend Scheme, please provide your friend's name:

PART 5: Are you human?
What colour is grass? *required