* Indicates required fieldWhat happens if I fill in the form?

Contact Details Step 1 of 3

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

Finance Calculator Step 2 of 3

Retail Price:

repayments of ---

Summary

  • Retail Price:
  • Your Deposit:
  • Finance Amount:
  • APR:
  • Minimum Deposit Percentage:
  • Document Fee: 75.00
  • Completion Fee: 75.00
  • Term:
  • Total Cost of Credit:
  • Total Amount Payable:
  • Representative APR:
  • Monthly Repayments:

Finance Config

  • showWeeklyPrice: 1
  • showMonthlyPrice: 1
  • showFinance: 0
  • rate: 8.90
  • depositPercentage: 20
  • minCarValue: 5000.00
  • minCarYear: 10
  • repaymentTerms: 60
  • CIfinanceFlag: 0
  • providerID: 3
  • providerImage:
  • showRepApr: 1
  • documentFeeText: Document Fee
  • documentFeeAmount: 75.00
  • completionFeeText: Completion Fee
  • completionFeeAmount: 75.00
  • hasCustomDepositPercentage: 1
  • hasCustomRate: 1

Personal Details

Employment Details

Loan Details

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.

version : 1.3 form : 2170533