Introducer Full Name*
Introducer Email Address*
Introducer Telephone No*
First Name*
Last Name*
Company Name*
Client Email Address*
Client Telephone No*
When is the best time to call them? * Select an option10:00 AM - 12:00 PM01:00 PM - 03:00 PM04:00 PM - 07:00 PMCall Anytime
Does the client have good credit?* YesNo
Is the client is a homeowner?* YesNo
Does the client have any BTL's in their portfolio?* YesNo
Choose Product * Select an optionBusiness LoanBridging FinanceCredit LineCorporate Credit CardCorporate Charge CardCash Advance LoanDevelopment FinanceInvoice Finance
Required Loan Amount* £
Preferred Payment Term* Select an option1 Year2 Year3 Year4 Year5 Year+
When Would They Need The Funds* Select an optionAs soon as possibleWithin next few daysIn next couple of weeksFlexible with time
Purpose of Funding* Select an optionBuy a new PropertyCashflowEquity ReleaseExpansionOther
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