Invoice Discounting Application Tell us about your business It’s important that we gather as much accurate information as possible ensuring that we match your business finance needs with the most appropriate funders that will support your business sector and circumstances. (Please take the time to complete every question as we will be able to gain you a more accurate quotation)Business name:*Trading name:Address:*Postcode:*Country:*SelectEnglandNorthern IrelandScotlandWalesBusiness phone no:Business mobile no:Business email:* Business contact:*Position: Director: Business owner: Key decision maker: Business activity:*Select an optionAdvertisingAerospace & DefenceAgricultural Production – AnimalsAgricultural Production – CropsAgricultural ServicesAir TransportationAmusement & Recreation ServicesApparel & Other Finished Products (Manufacture)Automotive Hire CompaniesAutomotive ManufacturingAutomotive Repair, Services & ParkingChemicals & Allied ProductsCoal MiningCommunicationsComputer Hardware and Related ServicesComputer Software and Related ServicesConstruction – Building CompletionConstruction – Building / MasonryConstruction – Electrical InstallationConstruction – Floor ScreedingConstruction - Groundwork’sConstruction – JoineryConstruction – Plastering / RenderingConstruction – Plumbing & HeatingConstruction – RoofingConstruction – Steel ErectingConsumer Credit InstitutionsDairy Production & Related ServicesEating & Drinking PlacesEducational ServicesElectronic Equipment, Except ComputersEngineering, Research & Management ServicesFabricated Metal ProductsFishing, Hunting, TrappingFood & Kindred ProductsForestryFuel SuppliersFurniture and FixturesGeneral Merchandise StoresGlazing and RoofingHaulageHealth ServicesHeavy Construction – CivilsHome FurnishingHotels & Other Lodging PlacesIndustrial / Commercial Machines &ComputersInstruments / Photo – Med – Optical / ClocksInsurance Agents, Brokers & ServicesInsurance CarriersLeather & Leather ProductsLegal ServicesLogistic Clearing and ForwardingLumber & Wood Products Except FurnitureManufacturingMembership OrganisationsMetal MiningMining of Non – Metals, Except FuelMiscellaneous Repair ServicesMotor Freight Transport & WarehousingMuseums, Gardens, Galleries & ZoosOil & Gas ExtractionPackagingPaper & Allied ProductsPassenger Transportation ServicesPetroleum Refining & Related IndustriesPharmaceuticalsPhotography & FilmPipelines, Except Natural GasPrimary Metal IndustriesPrinting, Publishing & Allied IndustriesRailroad TransportReal EstateRecruitment – ConstructionRecruitment – DiversifiedRecruitment – Haulage and TransportRecruitment – ManufacturingRecruitment – Temporary StaffRecycle CollectionRetail Fashion – SupplyRetail Food – SupplyRetail Miscellaneous – SupplyRetail Textiles – SupplyRubber & Miscellaneous Plastic ProductsSecurity Guards and Related ServicesSheet Metal WorkSteel ManufacturingStone, Clay, Glass & Concrete ProductsTextile Mill ProductsTobacco ProductsTransportation EquipmentUtility Services (Electricity, Gas, Sanitary)Wholesale - Durable GoodsWholesale - Electrical GoodsWholesale – FoodWholesale – Hardware / Garden SupplyWholesale – MiscellaneousWholesale – Office SuppliesWholesale – TextileOther - Not Specified ElsewhereFull business description*Total amount currently owed by your customers:*What is your projected turnover in the next 12 months?*Under the CIS Scheme, which does your business come under Gross status (This is where the full gross value gets paid direct to you from the customer) Nett status (This is where a customer may hold back the revenue part of the invoice and pay it directly to HMRC on your behalf). Years trading:*Select an option:New startPhoenix startEstablished business 0 – 6 Months6 months – 12 months1 year – 2 years2 years – 4 years4 years +Do you currently have an invoice finance facility?*YesNoPlease tell us who you’re with now as we wouldn’t like to match you with your current provider and cause any embarrassment*Reason for seeking invoice finance:*Please Select:Business Start UpPlanned GrowthNew ContractPressure on Cash FlowComparison against current Invoice Finance ProviderOther ReasonPlease provide details:*Tell us about your customers:(Please select the most appropriate that matches your business) A mix of business to business & general public Roughly what percentage of turnover is business to business?Select:0005101520253035404550556065707580859095100Tell us about your customers: All business to business All general public sales Who do you trade with?* All UK Customers All export customers Mixture of UK & export customers Roughly what percentage of your trade is with export customers?Select:0005101520253035404550556065707580859095100How do you bill for your work: All invoices All applications A mixture of invoices & applications Tell us about your invoicingRoughly how many live customers do you have at any given time?Select an option:1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798991001011021031041051061071081091101111121131141151161171181191201211221231241251261271281291301311321331341351361371381391401411421431441451461471481491501511521531541551561571581591601611621631641651661671681691701711721731741751761771781791801811821831841851861871881891901911921931941951961971981992002012022032042052062072082092102112122132142152162172182192202212222232242252262272282292302312322332342352362372382392402412422432442452462472482492502512522532542552562572582592602612622632642652662672682692702712722732742752762772782792802812822832842852862872882892902912922932942952962972982993003013023033043053063073083093103113123133143153163173183193203213223233243253263273283293303313323333343353363373383393403413423433443453463473483493503513523533543553563573583593603613623633643653663673683693703713723733743753763773783793803813823833843853863873883893903913923933943953963973983994004014024034044054064074084094104114124134144154164174184194204214224234244254264274284294304314324334344354364374384394404414424434444454464474484494504514524534544554564574584594604614624634644654664674684694704714724734744754764774784794804814824834844854864874884894904914924934944954964974984995005015025035045055065075085095105115125135145155165175185195205215225235245255265275285295305315325335345355365375385395405415425435445455465475485495505515525535545555565575585595605615625635645655665675685695705715725735745755765775785795805815825835845855865875885895905915925935945955965975985996006016026036046056066076086096106116126136146156166176186196206216226236246256266276286296306316326336346356366376386396406416426436446456466476486496506516526536546556566576586596606616626636646656666676686696706716726736746756766776786796806816826836846856866876886896906916926936946956966976986997007017027037047057067077087097107117127137147157167177187197207217227237247257267277287297307317327337347357367377387397407417427437447457467477487497507517527537547557567577587597607617627637647657667677687697707717727737747757767777787797807817827837847857867877887897907917927937947957967977987998008018028038048058068078088098108118128138148158168178188198208218228238248258268278288298308318328338348358368378388398408418428438448458468478488498508518528538548558568578588598608618628638648658668678688698708718728738748758768778788798808818828838848858868878888898908918928938948958968978988999009019029039049059069079089099109119129139149159169179189199209219229239249259269279289299309319329339349359369379389399409419429439449459469479489499509519529539549559569579589599609619629639649659669679689699709719729739749759769779789799809819829839849859869879889899909919929939949959969979989991000+Roughly how many invoices / applications do you raise on a monthly basis?Select an option:1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798991001011021031041051061071081091101111121131141151161171181191201211221231241251261271281291301311321331341351361371381391401411421431441451461471481491501511521531541551561571581591601611621631641651661671681691701711721731741751761771781791801811821831841851861871881891901911921931941951961971981992002012022032042052062072082092102112122132142152162172182192202212222232242252262272282292302312322332342352362372382392402412422432442452462472482492502512522532542552562572582592602612622632642652662672682692702712722732742752762772782792802812822832842852862872882892902912922932942952962972982993003013023033043053063073083093103113123133143153163173183193203213223233243253263273283293303313323333343353363373383393403413423433443453463473483493503513523533543553563573583593603613623633643653663673683693703713723733743753763773783793803813823833843853863873883893903913923933943953963973983994004014024034044054064074084094104114124134144154164174184194204214224234244254264274284294304314324334344354364374384394404414424434444454464474484494504514524534544554564574584594604614624634644654664674684694704714724734744754764774784794804814824834844854864874884894904914924934944954964974984995005015025035045055065075085095105115125135145155165175185195205215225235245255265275285295305315325335345355365375385395405415425435445455465475485495505515525535545555565575585595605615625635645655665675685695705715725735745755765775785795805815825835845855865875885895905915925935945955965975985996006016026036046056066076086096106116126136146156166176186196206216226236246256266276286296306316326336346356366376386396406416426436446456466476486496506516526536546556566576586596606616626636646656666676686696706716726736746756766776786796806816826836846856866876886896906916926936946956966976986997007017027037047057067077087097107117127137147157167177187197207217227237247257267277287297307317327337347357367377387397407417427437447457467477487497507517527537547557567577587597607617627637647657667677687697707717727737747757767777787797807817827837847857867877887897907917927937947957967977987998008018028038048058068078088098108118128138148158168178188198208218228238248258268278288298308318328338348358368378388398408418428438448458468478488498508518528538548558568578588598608618628638648658668678688698708718728738748758768778788798808818828838848858868878888898908918928938948958968978988999009019029039049059069079089099109119129139149159169179189199209219229239249259269279289299309319329339349359369379389399409419429439449459469479489499509519529539549559569579589599609619629639649659669679689699709719729739749759769779789799809819829839849859869879889899909919929939949959969979989991000+Roughly how many invoices do you raise on a monthly basis?Select an option1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374757677787980818283848586878889909192939495969798991001011021031041051061071081091101111121131141151161171181191201211221231241251261271281291301311321331341351361371381391401411421431441451461471481491501511521531541551561571581591601611621631641651661671681691701711721731741751761771781791801811821831841851861871881891901911921931941951961971981992002012022032042052062072082092102112122132142152162172182192202212222232242252262272282292302312322332342352362372382392402412422432442452462472482492502512522532542552562572582592602612622632642652662672682692702712722732742752762772782792802812822832842852862872882892902912922932942952962972982993003013023033043053063073083093103113123133143153163173183193203213223233243253263273283293303313323333343353363373383393403413423433443453463473483493503513523533543553563573583593603613623633643653663673683693703713723733743753763773783793803813823833843853863873883893903913923933943953963973983994004014024034044054064074084094104114124134144154164174184194204214224234244254264274284294304314324334344354364374384394404414424434444454464474484494504514524534544554564574584594604614624634644654664674684694704714724734744754764774784794804814824834844854864874884894904914924934944954964974984995005015025035045055065075085095105115125135145155165175185195205215225235245255265275285295305315325335345355365375385395405415425435445455465475485495505515525535545555565575585595605615625635645655665675685695705715725735745755765775785795805815825835845855865875885895905915925935945955965975985996006016026036046056066076086096106116126136146156166176186196206216226236246256266276286296306316326336346356366376386396406416426436446456466476486496506516526536546556566576586596606616626636646656666676686696706716726736746756766776786796806816826836846856866876886896906916926936946956966976986997007017027037047057067077087097107117127137147157167177187197207217227237247257267277287297307317327337347357367377387397407417427437447457467477487497507517527537547557567577587597607617627637647657667677687697707717727737747757767777787797807817827837847857867877887897907917927937947957967977987998008018028038048058068078088098108118128138148158168178188198208218228238248258268278288298308318328338348358368378388398408418428438448458468478488498508518528538548558568578588598608618628638648658668678688698708718728738748758768778788798808818828838848858868878888898908918928938948958968978988999009019029039049059069079089099109119129139149159169179189199209219229239249259269279289299309319329339349359369379389399409419429439449459469479489499509519529539549559569579589599609619629639649659669679689699709719729739749759769779789799809819829839849859869879889899909919929939949959969979989991000+Credit Protection InsuranceWould you like to discuss Credit Protection insurance?*YesNoWould you like to discuss the Credit Protection with?* Matched Invoice Financiers only Matched Invoice Financiers & one independent for comparison Future contact From time to time we would like to contact you with details of other relevant products, offers and services. If you consent to us contacting you for this purpose please tick to say how you would like us to contact you.Future contact* Post Email Phone Text If you prefer not to be contacted please tick this box By clicking submit, you are agreeing that you have read, understood and accept our Terms and Privacy Policy and that you are happy for us and one of our approved lenders to contact you in order to progress your application.
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