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To apply for competitive finance on any of our vehicles fill in the below application and we will be back to you as soon as possible.

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Contact Details Step 1 of 3

Title *

First Name *

Surname *

Mobile Number *

Email *

Choose a Car:

Make:
Model:
Year:
Mileage:
Retail Price: ---

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Finance Calculator Step 2 of 3

Retail Price:

Do you have a Trade-In?

Cash Deposit:

Estimate Trade-In:

Outstanding Loan:

Total Deposit:

Total Finance Amount:

Trade-In Car Registration Number:

Term

repayments of ---

Summary

Retail Price:
Your Deposit:
Finance Amount:
APR:
Minimum Deposit Percentage:
Document Fee: 75
Completion Fee: 75
Term:
Total Cost of Credit:
Total Amount Payable:
Representative APR:
Monthly Repayments:

Personal Details

Title *

First Name *

Surname *

Telephone *

Email *

Number of dependents

Date of Birth *

Gender *

Place of Birth *

Marital Status *

Address name or number

Street *

Town *

County *

Time at this Address (in Years) *

Previous address name or number (if less than 3 years at current address)

Previous street

Previous address town

Previous address county

Residential Status *

Who do you normally bank with *

If other bank, Please specify

Branch *

Time with Branch *

Identification Type *

Identification Number (e.g. PPS) *

Occupation *

Employment Details

Employer *

Address name or number (Work) *

Street (Work) *

Town (Work) *

County (Work) *

Telephone (Work)

Employment Status *

Time with Employer (in Years) *

Monthly Income after Tax *

Loan Details

Select your Vehicle *

Car Price *

Year of Car *

Vehicle Make *

Vehicle Model *

Vehicle Variant

Vehicle Kilometers

Trade-In / Deposit

Finance Term

Outstanding loan on your trade in

Data Protection and Consents

Warning! if you do not meet the repayments on your credit agreement, your account will go into arrears. This may affect your credit rating, (which maylimit your ability to access credit in the future).

The information that you provide on this proposal form will be forwarded to one or more financial institutions, being members of the Irish Finance Houses Association, and will be used by them for the purposes of assessing the suitability for you of their finance products, potentially offering you a product or a quote. As part of this process, credit searches will be made with one or more credit reference agencies, including the Irish Credit Bureau (ICB), which will make a record of the search. Details of any agreement you enter into, and your conduct of that agreement, may be shared with the credit reference agencies, ICB and their members. Searches may also be carried out to verify your identity, and you may be contacted directly (including by telephone) for the purposes of verifying the information on this form. Credit scoring and other automated decision-making process may be used. By ticking the consent box below, I certify that I consent to the use and disclosure of this information for the purposes set out above. I acknowledge that the recipients of this information are authorised to contact me and to disclose any material misstatements of fact on this proposal to their members and other relevant bodies.

Tick here to confirm consent by applicant *

Tick here to confirm confirm you are over 18 years of age *

I consent to receive marketing communication from Airside Motor Centre *

Yes

version : 1.3 form : 1645559

Finance

Contact Details Step 1 of 3

Finance Calculator Step 2 of 3

Retail Price:

Summary

Finance Config

Personal Details

Employment Details

Loan Details

Data Protection and Consents

HIRE PURCHASE REPRESENTATIVE EXAMPLE

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