Sellers Citroen - Finance Information Request Form

YOUR GARAGE

Finance Information Request

Complete this form and we'll reply with a detailed finance offer

	Items marked ● are required (All data is treated confidentially. We do not share information with any other companies)

YOUR NAME AND ADDRESS

● TITLE

● INITIALS

● SURNAME

● ADDRESS

● TOWN/CITY

● COUNTY

● POSTCODE

DAYTIME TEL

EVENING TEL

MOBILE PHONE

E-MAIL

COMPANY NAME

JOB TITLE

PREFERRED METHOD OF CONTACT: DAYTEL EVETEL E-MAIL TEXT

YOUR VEHICLE REQUIREMENTS

	MODEL OF CITROËN OF INTEREST
	TYPE OF VEHICLE	NEW USED

YOUR FINANCE REQUIREMENTS

	TYPE OF PURCHASE	COMPANY PRIVATE
	ARE YOU VAT REGISTERED?	YES NO
	TYPE OF FUNDING
	TYPICAL ANNUAL MILEAGE
	INITIAL DEPOSIT
	TERM
	INTENDED DATE OF PURCHASE
	ADDITIONAL INFORMATION

The information you provide will not be shared with any organisations other than this dealership and Citroën UK Ltd. This information may be used to keep you informed about new models and special offers that are likely to be of interest to you.

If you do not wish this information to be retained, please tick this box.

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