Date: 10/03/10

PROPOSAL FORM - LIMITED COMPANY

Lomeshaye Business Village - Turner Road - Nelson - Lancashire - BB9 7DR
Tel:   0845 230 44 66       Fax:   0845 230 44 77

Email:   sales@efllimited.com
COMPANY DETAILS
Trading Name:     Company Reg No:  
Trading Address:   VAT Reg No:  
Date Established:  
Postcode:   Fleet Size: Cars:      Vans:  
Tel No:   Issued Shares:  
Fax No:   Nature of Business:  
Email Address:  
DIRECTOR   BANK DETAILS
Name:   Bank Name:  
Date of Birth:   (dd/mm/yy) Address:  
Address:   Postcode:  
Postcode:   Account Name:  
Time at Address:
  Years     Months
Account No:
Previous Address: (if less than 5years)
  		Sort Code:
- -
Postcode:        
DATA PROTECTION NOTIFICATION
  1. So that we may assess your application for finance, you agree that we may search the files of any licensed credit reference agency who will keep a record of that search.
  2. If the funder enters into this agreement with you, they will disclose information about you and the conduct of your account at any time to any licensed credit reference agency. This information may be used by other lenders in assessing applications for finance from you and members of your household and occasionally for fraud prevention and tracing orders.
  3. They may also disclose information about you and your conduct of this agreement at any time to any motor trader, insurance company, vehicle recovery tracing agent, lawyer, law enforcement agency, mailing agency and our parent, associated and subsidiary companies and their respective agents and contractors.
  4. I confirm that the information above is true and accurate: