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If you spend more than £250.00 you can apply for credit. Simply place your order and then complete this application form to apply for credit.
1. Personal Details
Title
Gender
Forename
Surname
House number / name
Postcode
Street
Town
County
Residential Status
Time at Address
Years: Months:
Date of Birth
(DD/MM/YYYY)
Other Initials
Suffix
Home telephone
Mobile telephone
Previous address details (if less than 3 years at current address)
Time at address
Marital status
Number of dependants
E-Mail address
Association(financial link to 3rd party)
Alias(previous/other names)
2. Bank Details
Bank Name
Sort code
(00-00-00)
Account number
Time at bank
Years:Months:
Payment method
Number of Credit Cards
Cheque card held
3. GoodsWe need an item and amount to process your application, please telephone 01952 585859 if you need assistance.
Goods purchased
Cash price
Deposit
Finance Scheme
Tick here if Payment Protection Insurance not required
4. Employment Details
Employment status
Employers name
Building number / name
Telephone number
Job title
Time with employer
CUSTOMER INFORMATION AND DATA PROTECTIONWHICH MUST BE READ BY THE CUSTOMER PRIOR TO SUBMITTING APPLICATION
I do not wish to receive any information on goods and services.
By continuing with this application it will be assumed that you have read and accepted the above statement.
(You will be transfered to Pineapple Leisure Ltd's Bouncy Castle website to continue your application.)
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