Generic Leaflet - Funding Falcon

General Commercial Loan Application

Registered Business name*
Job Title*
Directors Name*
First Last
Directors Email Address*
Directors Mobile phone number*
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
How long have you lived at this address? (Years)*
Previous Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Type of Residence*
i.e Homeowner, Tenant etc.
Are you the Majority Share Holder (25% or More)
- Yes
Purpose of Finance*
How much would you like to borrow?*
We can lend upwards of £5000
What term would you like to borrow over?*
We can lend from 6 to 48 months
Name of company referring you to us*
Business Registration Number*
VAT Number
Company Trading Start Date?*
Date Format: DD slash MM slash YYYY
Does the company accept card payments?*
- Yes
- No
Does the company have an overdraft?*
- Yes
- No
How much?*
Registered Business Trading Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code
Typical Monthly Income from Sales?*
Number of Company Directors?*
Bank Name*
Account Number*
Sort Code*
Funding Falcon is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. Please confirm that we have your customers consent to contact them in regards to finance.
Consent Agreement*
- I agree that my customer has consented to receive communication from Funding Falcon.
By clicking submit below, you consent to allow Funding Falcon to store and process the personal information submitted above to provide you the services requested.

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