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Contact Name:



Phone Number:


Vehicle Details




What factory-fitted extras do you require?:

Gear Box:


Period of Contract: (in months)

Cost Monthly:


Miles per Annum:

Maintenance Included:

Existing Customer:

Quote Reference:

Data Protection information

  1. So that we may assess your application for finance, you agree that we may search the files of any licensed credit reference agency who will keep a record of that search.
  2. If we enter into this agreement with you, we will disclose information about you and the conduct of your account at time to any licensed credit reference agency. This information may be used by other lenders in assessing applications for finance from you and members of your household and occasionally for fraud prevention and tracing orders.
  3. We may also disclose information about you and your conduct of this agreement at any time to any motor trader, insurance company, vehicle recovery tracing agent, lawyer, law enforcement agency, mailing agency and associated. Companies and their respective agents and contractors.
  4. The information provided is a true and accurate record of the information requested.
  5. Deals might be subject to an Administration Fee, which is non negotiable.
  6. I accept it is my responsibility to notify Freedom Vehicle Contracts Limited of any data/personal detail changes immediately in writing.

I give notice that the info/data provided by me and contained in this application form is a true and accurate. I also give authority Freedom Contracts Ltd to make any enquiries necessary to verify and confirm the Information to consider this application accordingly. I also understand that the lender reserves the right to decline this application.

Thank you for requesting a quotation from Freedom Vehicle Contracts Limited. By ticking the box below you have agreed to receive your quotation and all future offers and relevant information from Freedom Vehicle Contracts Limited. By ticking this box I accept the declaration applicable to this enquiry.

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