APPLICATION FORM

(Please fill in as much information as possible)

Applicants Details
Marital Status Married  Single  Divorced Widowed  Separated
Title First Names Surname
Date of Birth Previous/Maiden Name
Address
Town Country Postcode
Home Telephone Number Mobile   
Type of Property House  Flat      Bungalow  Terrace Semi     Detached
Residency Owner Lodger Tenant      Living with Parents
Credit Cards Held None   Visa     Mastercard Access   Cheque Other      

Employment Details
Employers Name
Address
Town Country Postcode
Telephone Number Extension
Occupation Time employed ( years /months )
Salary ( PA )   £ Payment date

Bank Details
Bank Name Time with Bank ( years /months )
Bank Address
Town Country Postcode
Account Number Sort Code
Overdraft Limit Credit Card Limit
Cheque Card/Debit Card Number Expiry date

Credit History
CCJ's Yes No Number of CCJ's
Notes

Loan Details
Amount you wish to apply for: £
Payment period Weekly Fortnightly Monthly
Purpose of Loan
How did you hear about us
Signature Date
 

After Completing the Application Form, print out and post/fax it to us

Post to MAM Finance
P O Box 162
Romiley
Stockport
SK6 4WF

or Fax to 0161 925 0999

 

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