Business Proposal Form

<BODY BGCOLOR="#FFFFFF" TEXT="#000000" LINK="#008000" VLINK="#5B5B5B" ALINK="#00FF00" LEFTMARGIN="0" TOPMARGIN="0" MARGINWIDTH="0" MARGINHEIGHT="0"> <TABLE WIDTH="778" BORDER="0" CELLPADDING="0" CELLSPACING="0"> <TR> <TD WIDTH="25"><IMG SRC="navbar/off/images/spacer.gif" WIDTH="25" HEIGHT="1" BORDER="0"></TD> <TD> <P ALIGN="CENTER"><FONT FACE="Verdana" SIZE="-1">Please complete the following form, and your request will be given our immediate attention.</FONT></P> <FORM METHOD="POST" action="/cgi-bin/formmail"> <input type="hidden" name="email" value="info@meridian-finance.co.uk"> <input TYPE="hidden" NAME="recipient" VALUE="info@meridian-finance.co.uk"> <INPUT TYPE="HIDDEN" NAME="Form title" VALUE="Business Proposal Form Submission from www.meridian-finance.co.uk"> <INPUT TYPE="hidden" name="redirect" VALUE="http://www.meridian-finance.co.uk/thanks.html"> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" ALIGN="CENTER"> <TR> <TD COLSPAN="2"><FONT FACE="Verdana" SIZE="-1"><B>Section 1. Dealer Details</B></FONT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Dealer name:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="001. Dealer name" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Contact name:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="002. Contact Name" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Contact number:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="003. Contact number" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD COLSPAN="2"><FONT FACE="Verdana" SIZE="-1"><B>Section 2. Company Details</B></FONT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Business type:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="004. Business Type" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="Limited Company">Limited Company</OPTION> <OPTION VALUE="Partnership">Partnership</OPTION> <OPTION VALUE="Sole Trader">Sole Trader</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Company name:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="005. Company name" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Company address:</FONT></TD> <TD ALIGN="LEFT"><TEXTAREA NAME="006. Company address" ROWS="5" COLS="38" WRAP="Virtual" STYLE="width: 323px"></TEXTAREA></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Postcode:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="007. Postcode" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Company phone number:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="008. Company phone number" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Trading style:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="009. Trading style" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Date established:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="010. Date established" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Company registration number:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="011. Company registration number" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">No. of directors/partners:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="012. No. of directors or partners" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD COLSPAN="2"><FONT FACE="Verdana" SIZE="-1"><B>Section 3. Bank Details</B></FONT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Bank name:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="013. Bank name" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Bank sort code:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="014. Bank sort code" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Bank account number:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="015. Bank account number" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">How long with bank:</FONT></TD> <TD ALIGN="LEFT"> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0"> <TR> <TD><INPUT TYPE="TEXT" NAME="016. With bank years" SIZE="3"></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD><FONT FACE="Verdana" SIZE="-1">Years and </FONT></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD> <SELECT NAME="017. With bank months" SIZE="1"> <OPTION VALUE="0">0</OPTION> <OPTION VALUE="1">1</OPTION> <OPTION VALUE="2">2</OPTION> <OPTION VALUE="3">3</OPTION> <OPTION VALUE="4">4</OPTION> <OPTION VALUE="5">5</OPTION> <OPTION VALUE="6">6</OPTION> <OPTION VALUE="7">7</OPTION> <OPTION VALUE="8">8</OPTION> <OPTION VALUE="9">9</OPTION> <OPTION VALUE="10">10</OPTION> <OPTION VALUE="11">11</OPTION> </SELECT></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD><FONT FACE="Verdana" SIZE="-1">Months</FONT></TD> </TR> </TABLE></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD COLSPAN="2"><FONT FACE="Verdana" SIZE="-1"><B>Section 4. Personal Details</B></FONT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Title:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="018. Title" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="Mr">Mr</OPTION> <OPTION VALUE="Mrs">Mrs</OPTION> <OPTION VALUE="Miss">Miss</OPTION> <OPTION VALUE="Other">Other</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Full name:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="019. Full name" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Maiden name <FONT SIZE="-2">(if applicable)</FONT>:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="020. Maiden name" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Home address:</FONT></TD> <TD ALIGN="LEFT"><TEXTAREA NAME="021. Home address" ROWS="5" COLS="38" WRAP="Virtual" STYLE="width: 323px"></TEXTAREA></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Postcode:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="022. Postcode" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">For how long:</FONT></TD> <TD ALIGN="LEFT"> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0"> <TR> <TD><INPUT TYPE="TEXT" NAME="023. Current address years" SIZE="3"></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD><FONT FACE="Verdana" SIZE="-1">Years and </FONT></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD> <SELECT NAME="024. Current address months" SIZE="1"> <OPTION VALUE="0">0</OPTION> <OPTION VALUE="1">1</OPTION> <OPTION VALUE="2">2</OPTION> <OPTION VALUE="3">3</OPTION> <OPTION VALUE="4">4</OPTION> <OPTION VALUE="5">5</OPTION> <OPTION VALUE="6">6</OPTION> <OPTION VALUE="7">7</OPTION> <OPTION VALUE="8">8</OPTION> <OPTION VALUE="9">9</OPTION> <OPTION VALUE="10">10</OPTION> <OPTION VALUE="11">11</OPTION> </SELECT></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD><FONT FACE="Verdana" SIZE="-1">Months</FONT></TD> </TR> </TABLE></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD COLSPAN="2"><FONT FACE="Verdana" SIZE="-1"><I>If less than three years at current address,<BR> please provide previous address:</I></FONT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Previous address:</FONT></TD> <TD ALIGN="LEFT"><TEXTAREA NAME="025. Previous address" ROWS="5" COLS="38" WRAP="Virtual" STYLE="width: 323px"></TEXTAREA></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Postcode:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="026. Previous Postcode" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">For how long:</FONT></TD> <TD ALIGN="LEFT"> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0"> <TR> <TD><INPUT TYPE="TEXT" NAME="027. Previous address years" SIZE="3"></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD><FONT FACE="Verdana" SIZE="-1">Years and </FONT></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD> <SELECT NAME="028. Previous address months" SIZE="1"> <OPTION VALUE="0">0</OPTION> <OPTION VALUE="1">1</OPTION> <OPTION VALUE="2">2</OPTION> <OPTION VALUE="3">3</OPTION> <OPTION VALUE="4">4</OPTION> <OPTION VALUE="5">5</OPTION> <OPTION VALUE="6">6</OPTION> <OPTION VALUE="7">7</OPTION> <OPTION VALUE="8">8</OPTION> <OPTION VALUE="9">9</OPTION> <OPTION VALUE="10">10</OPTION> <OPTION VALUE="11">11</OPTION> </SELECT></TD> <TD><IMG SRC="splash/on/images/spacer.gif" WIDTH="5" HEIGHT="1" BORDER="0"></TD> <TD><FONT FACE="Verdana" SIZE="-1">Months</FONT></TD> </TR> </TABLE></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Home phone number:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="029. Home phone number" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Mobile phone number:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="030. Mobile phone number" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Accomodation:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="031. Accomodation" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="Home owner">Home owner</OPTION> <OPTION VALUE="Tenant">Tenant</OPTION> <OPTION VALUE="Living with parents">Living with parents</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Marital status:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="032. Marital status" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="Married">Married</OPTION> <OPTION VALUE="Single">Single</OPTION> <OPTION VALUE="Other">Other</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Date of birth:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="033. Day of birth" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="1">1</OPTION> <OPTION VALUE="2">2</OPTION> <OPTION VALUE="3">3</OPTION> <OPTION VALUE="4">4</OPTION> <OPTION VALUE="5">5</OPTION> <OPTION VALUE="6">6</OPTION> <OPTION VALUE="7">7</OPTION> <OPTION VALUE="8">8</OPTION> <OPTION VALUE="9">9</OPTION> <OPTION VALUE="10">10</OPTION> <OPTION VALUE="11">11</OPTION> <OPTION VALUE="12">12</OPTION> <OPTION VALUE="13">13</OPTION> <OPTION VALUE="14">14</OPTION> <OPTION VALUE="15">15</OPTION> <OPTION VALUE="16">16</OPTION> <OPTION VALUE="17">17</OPTION> <OPTION VALUE="18">18</OPTION> <OPTION VALUE="19">19</OPTION> <OPTION VALUE="20">20</OPTION> <OPTION VALUE="21">21</OPTION> <OPTION VALUE="22">22</OPTION> <OPTION VALUE="23">23</OPTION> <OPTION VALUE="24">24</OPTION> <OPTION VALUE="25">25</OPTION> <OPTION VALUE="26">26</OPTION> <OPTION VALUE="27">27</OPTION> <OPTION VALUE="28">28</OPTION> <OPTION VALUE="29">29</OPTION> <OPTION VALUE="30">30</OPTION> <OPTION VALUE="31">31</OPTION> </SELECT> <SELECT NAME="034. Month of birth" SIZE="1"> <OPTION VALUE="">Please select</OPTION> <OPTION VALUE="January">January</OPTION> <OPTION VALUE="February">February</OPTION> <OPTION VALUE="March">March</OPTION> <OPTION VALUE="April">April</OPTION> <OPTION VALUE="May">May</OPTION> <OPTION VALUE="June">June</OPTION> <OPTION VALUE="July">July</OPTION> <OPTION VALUE="August">August</OPTION> <OPTION VALUE="September">September</OPTION> <OPTION VALUE="October">October</OPTION> <OPTION VALUE="November">November</OPTION> <OPTION VALUE="December">December</OPTION> </SELECT><INPUT TYPE="TEXT" NAME="035. Year of Birth" SIZE="5" MAXLENGTH="4"></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD COLSPAN="2"><FONT FACE="Verdana" SIZE="-1"><B>Section 5. Car Details</B></FONT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Car make and model:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="036. Car make and model" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Fuel type:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="037. Fuel type" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="Diesel">Diesel</OPTION> <OPTION VALUE="Petrol">Petrol</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Engine size:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="038. Engine size" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Gearbox type:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="039. Gearbox type" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="Automatic">Automatic</OPTION> <OPTION VALUE="Manual">Manual</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">New or used:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="040. New or used" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="New">New</OPTION> <OPTION VALUE="Used">Used</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Registration number:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="041. Registration number" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Date of registration:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="042. Date of registration" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Mileage:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="043. Mileage" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Extras:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="044. Extras" SIZE="40" STYLE="width: 323px"></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD COLSPAN="2"><FONT FACE="Verdana" SIZE="-1"><B>Section 6. Finance Details</B></FONT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Type:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="045. Type" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="Hire Purchase">Hire Purchase</OPTION> <OPTION VALUE="Lease Purchase">Lease Purchase</OPTION> <OPTION VALUE="Contract Hire">Contract Hire</OPTION> </SELECT></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Purchase price:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="046. Purchase price" SIZE="40" STYLE="width: 323px" VALUE="� "></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Total Deposit:</FONT></TD> <TD ALIGN="LEFT"><INPUT TYPE="TEXT" NAME="047. Total deposit" SIZE="40" STYLE="width: 323px" VALUE="� "></TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Term:</FONT></TD> <TD ALIGN="LEFT"> <SELECT NAME="048. Term" SIZE="1"> <OPTION VALUE="" SELECTED="SELECTED">Please select</OPTION> <OPTION VALUE="24 months">24 months</OPTION> <OPTION VALUE="36 months">36 months</OPTION> <OPTION VALUE="48 months">48 months</OPTION> <OPTION VALUE="60 months">60 months</OPTION> </SELECT></TD> </TR> <TR> <TD COLSPAN="2"> </TD> </TR> <TR> <TD><FONT FACE="Verdana" SIZE="-1">Additional comments:</FONT></TD> <TD ALIGN="LEFT"><TEXTAREA NAME="049. Additional comments" ROWS="5" COLS="38" WRAP="Virtual" STYLE="width: 323px"></TEXTAREA></TD> </TR> <TR> <TD></TD> <TD ALIGN="LEFT"><INPUT TYPE="SUBMIT" NAME="Submit1" VALUE="Submit Enquiry"><INPUT TYPE="RESET" NAME="Reset1"></TD> </TR> </TABLE> </FORM> <P ALIGN="CENTER"><FONT FACE="Verdana" SIZE="-1"><B>| <A HREF="home.html" TARGET="_top">Home</A> | <A HREF="services.html" TARGET="_top">Services</A> | <A HREF="online_quote.html" TARGET="_top">Online Quote</A> | <A HREF="quote_request.html" TARGET="_top">Request a Quote</A> |<BR>| <A HREF="car_tax_calc.html" TARGET="_top">Car Tax Calculator</A> | <A HREF="proposals.html" TARGET="_top">Proposals</A> | <A HREF="specials-car.html" TARGET="_top">Car Specials</A> | <A HREF="specials-van.html" TARGET="_top">Van Specials</A> |<BR>| <A HREF="contract_hire_xfers.html" TARGET="_top">Contract Hire Transfers</A> | <A HREF="classic_car_finance.html" TARGET="_top">Classic Car Finance</A> | <A HREF="home-personal.html" TARGET="_top">Private Car Finance</A> | <A HREF="contact_us.html" TARGET="_top">Contact Us</A> |</B></FONT></P><BR> </TD> <TD WIDTH="25"><IMG SRC="navbar/off/images/spacer.gif" WIDTH="25" HEIGHT="1" BORDER="0"></TD> </TR> </TABLE> </BODY>