Len Manchester

Finance Application

Here at Len Manchester we are always willing to go that extra mile. So please fill in the form below and we will give you a call to confirm your booking.

Applicants Contact Details

Title *

First Name *

Middle Names

Family Name *

Prev. Name?

Contact No. *

Email *

Date of Birth *

Are you able to to visit our premises to provide ID before the sale completes?

Bike Details

Bike Make *

Bike Model *

Bike Price *

Deposit

Current Address

Address 1 *

Address 2

Address 3

Post Town *

Postcode *

Time at Address

Years *

Months

Living Status

Residential *

Marital *

Dependants

Prev. Address (if less than 3 yrs)

Address 1

Address 2

Address 3

Post Town

Postcode

Time at Address

Years

Months

Employment Details

Occupation

Hours *

Contract *

Years *

Months

Company *

Address *

Address 2

Address 3

Post Town *

Postcode *

Contact No. *

Bank Details

Sort Code *

Account No. *

Time with Bank

Years *

Months

Credit Cards *

Loan Term *

PLEASE NOTE: By clicking the submit button the information is e-mailed to Len Manchester Motorcycles who may perform a search with a credit reference agency who will retain a record of the data.

Following a successful application certain details will be recorded in accordance with the data protection act. They will not be used for any other purposes without your expressed permission.

We will not record any of the information provided and will erase it from our records as soon as it has been used for the purposes of the financial enquiry.

Please ensure all fields are completed correctly before sending your application.