Quote reference No.  Model of vehicle    

 Rental stated          plus VAT  3/35 rental profile, 10k p.a.

Quantity required    1 2 3 4 5 6 7 8 9 10        

Delivery date required?  Please note, if the vehicle is in stock 10 working days is the normal delivery estimate - if you require the vehicle sooner we will ring you to discuss this.                     

 Colour required                Trim required                          

Any specific options (Extra cost to be agreed with yourself)

The Company

Full Company Name  Status Sole Trader Partnership Limited Company                            

  Date Established        Company Reg. No. (If Ltd Co.)                           

Type of business     

Company Address     Post Code                                                  

Telephone Number    Fax Number   

Email address           

Bank Name/Address Sort CodeAccount Number

Name of the account

Details of Directors / Partners/Sole Trader

First Director/Partner or Sole Traders details

Full Name                                                                                       

Home Address          Post Code                                                    

Date of Birth           How long at above address?                

Status                     Married Single Divorced Separated                                                                                                  

Owner/Tenant etc   Owner Tenant Living With Parents

Position held with the company How long employed here

If less than three years at address please provide previous address

                                                                                Post Code 

Second Director/Partner                      

Full Name                                                                                       

Home Address          Post Code                                                    

Date of Birth           How long at above address?             

Status etc                Married Single Divorced Separated                                                                                                  

Owner/Tenant etc   Owner Tenant Living With Parents

Position held with the company How long employed here

If less than three years at address please provide previous address

                                                                                Post Code 

MOBILE PHONE NUMBER AND NAME OF MAIN CONTACT PLEASE

Data Protection Act - I/we consent to Cars And Vans Online using and disclosing the information contained in this form about my/our accounts:-

To make enquiries of authorized agents and licensed credit reference agencies for credit assessment purposes. Such agencies will keep a record of the enquiry and will share that information with other businesses.                                                  

  To make similar enquiries also to the business principal Directors/Partners.                                    

  To assist in fraud prevention and detection and tracing debtors.                                                    

  For registration in the event of serious account default with licensed credit reference agencies.       

 The Data Protection Act 1984 (The Act), information held by Cars And Vans Online will be used only for the purposes registered under The Act, including business purposes, making credit decisions and marketing.

Please check this box to say you accept our proposal and have satisfied yourself/yourselves with the contents of our specimen contract. Upon the box being checked we will commence with the proposal and upon acceptance full contractual agreements will be forwarded to you/yourselves for completion. We cannot proceed unless the box is checked.

Thank you for your order / proposal. We will normally return to you with a decision within one working day during normal office hours.