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Give us a call to discuss your requirements on 01913561001***Welcome to National Vehicle Solutions your number one choice for your car leasing needs*** Give us a call to discuss your requirements on 01913561001 Audi Q5, TT, A4, A5 must be ordered before 25th Feb ***Volkswagen Tiguan offers must be delivered before the end of March Welcome to National Vehicle Solutions your number one choice for your car leasing needs***

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Step 1 of 5.

| Vehicle Details

Make

Model

Derivative

Period Of Contract

Initial Rental

Miles per Annum

Maintenance Included?

Yes No

Monthly Price

£TBC

Initial Rental Amount

£TBC

What factory-fitted extras do you require?

Quote Reference

Existing Customer

YesNo

Step 2 of 5.

| Your Details

Title *

Forename *

Surname *

Gender

Residential Status

Date of Birth

Home Phone Number *

Mobile Phone Number *

Work Phone Number

Email Address *

Marital Status

SingleMarried

No of Dependants

Address Line 1

Address Line 2

Town/City

County

Post code

Time At This Address

years

months

Please Provide A Minimum
Of 3 Years Address History

Step 3 of 5.

| Employment Details

Current Employment

Employer Name Your Job Title Employer's Address
Employment Status Time With Employer

* if less than 3 years please give further details

Step 4 of 5.

| Personal Budget

Income

Net Monthly Salary

Overtime

Car Allowance

Partner's Monthly Salary

Other Income

Sub total

Expenditure

Mortgage/Rent

Car Loan

Credit Cards

Utility Bills

Transport / Travel / Fuel

Telephone / Television

Expenditure Continued

Insurances (Car, House, Life etc….)

Food / Drink / Clothing

Other Loans

Other Expenses

Sub total

TOTAL

Step 5 of 5.

| Bank Details and Declaration

Name of Bank

Address of Bank

Account Name *

Account Number *

Bank Sort Code * - -

Time with Bank

Additional Information To Support Application

DATA PROTECTION NOTIFICATION

So that we may assess your application for finance, you agree that we may search the files of any licensed credit reference agency who will keep a record of that search.
If we enter into this agreement with you, we will disclose information about you and the conduct of your account at time to any licensed credit reference agency. This information may be used by other lenders in assessing applications for finance from you and members of your household and occasionally for fraud prevention and tracing orders.
We may also disclose information about you and your conduct of this agreement at any time to any motor trader, insurance company, vehicle recovery tracing agent, lawyer, law enforcement agency, mailing agency and associated. Companies and their respective agents and contractors.
The information provided is a true and accurate record of the information requested
Deals might be subject to an Administration Fee, which is non negotiable.

Declaration I give notice that the info/data provided by me and contained in this application form is a true and accurate. I also give authority to National Vehicle Solutions to make any enquiries necessary to verify and confirm the Information to consider this application accordingly. I also understand that the lender reserves the right to decline this application.

By ticking this box I accept the declaration applicable to this enquiry.

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© National Vehicle Solutions
National Vehicle Solutions is a trading style of Venus Vehicle Solutions ltd Company and is authorised and regulated by the Financial Conduct Authority, Registered number FRN 714995
Data protection registry entry — 21413639 VAT registration number is 215 0155 57
National Vehicle Solutions is a trading style of Venus Vehicle Solutions ltd Company number 6263440

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