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Finance Enquiry:
222 Mazda CX-5 GT 2.2D ++EURO++125 PER WEEK
Please complete this form and we will be in touch to respond to your query.
I am over 18 years of age *
The car I am buying is more than €5,000 *
Step 1:
Personal Details
Full Name: *
Email: *
PHONE NUMBER *
date of birth:
PLACE OF BIRTH *
PPSN *
MARITIAL STATUS *
Married
Single
Cohabiting
Separated
Divorced
Step 2:
Your Residential Details
RESIDENTIAL STATUS *
Home Owner
Tenant
Living with Parents
Other
HOME ADDRESS *
LENGTH OF TIME AT CURRENT ADDRESS *
1-2 Years
2-3 Years
3-4 Years
+4 Years
Step 3:
Your Employment Details
Occupation: *
EMPLOYMENT TYPE *
Part-time
Full-time
EMPLOYMENT STATUS *
Contract
Permanent
Temporary
EMPLOYER'S NAME *
EMPLOYER'S ADDRESS *
TIME WITH EMPLOYER: *
PREVIOUS EMPLOYER'S ADDRESS (IF APPLICABLE)
Step 4:
Your Financial Details
NUMBER OF DEPENDANT CHILDREN: *
0
1
2
3
4
5
5
6+
NET SALARY PER MONTH: *
€
OTHER INCOME PER MONTH: *
€
RENT/MORTGAGE PER MONTH: *
€
Step 5:
Car Finance Details
Do you have a car you wish to trade-in?:
Yes
No
FINANCE TERM:
5 YEARS
4 YEARS
3 YEARS
2 YEARS
1 YEAR
FINANCE AMOUNT:
€
I hereby consent that my data can be used for the application of finance
I have read and agreed to Boland Carlow's
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