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HEATING THAT DOESN'T COST THE EARTH...
FINANCE

Please fill in our fast track loan enquiry form to begin the application process

PERSONAL DETAILS

First Applicant

Title
First Name
Surname
Date of Birth dd/mm/yyyy
Employment Status
Gross Annual Salary(£)

Second Applicant (If Applicable)

Title
First Name
Surname
Date of Birth dd/mm/yyyy
Employment Status
Gross Annual Salary(£)

Contact Details

Email
Daytime Phone
Evening Phone
Preferred Call Time
Address
Town
County
Postcode

LOAN DETAILS

Do you own your own home
How much do you wish to borrow
Do you have any CCJs registered in the last 12 months



Disclosure and use of your information
By submitting this application you agree for Coopers Hawk Ltd or another broker/lender to search the necessary credit reference agencies on yourself and any other named Person(s) on the application and that we may pass your details to other brokers or lenders, and that broker/lender may contact you for further information as required .

The personal data relating to you, gathered by us in our enquiry, will be recorded electronically and only used in accordance with the Data Protection Act 1998. Coopers Hawk Ltd, and any other broker or lender we refer this application to may, use the information you have provided from this website in connection with your application.

You should think carefully before securing other debts against your home. Your home may be reposessed if you do not keep up repayments on a mortgage or any other debt secured on it.

Finance application processed on behalf of Limes Glass Ltd by Coopers Hawk Ltd, 1 St Georges Court, St Georges Park, Kirkham, Preston, PR4 2EF. Licensed credit broker 560809.

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