Client Details
Product
Mortgage
Contact Details
Name
*
House No.
Street
City
County
Postcode
Email
*
Home Tel
Work Tel
Mobile
Please provide at least 1* contact number and indicate the best time to contact you.
Preferred Contact Time
09:00-13:00
13:00-17:00
17:00-21:00
Anytime
* Fields marked with an asterisk are required.
Product Options
Post Code
*
Purpose of Mortgage
Purchase
Remortgage
Buy to Let
Self Build
Equity Release for the Elderly
Other
Property Value (approx.)
£0 - £49k
£50 - £99k
£100 - £149k
£150 - £199k
£200 - £249k
£250 - £299k
£300 - £349k
£350 - £399k
£400 - £449k
£450 - £499k
£500 - £599k
£600 - £699k
£700 - £799k
£800 - £899k
£900 - £999k
£1 - £1.49 million
£1.5 - £1.9 million
Over £2 million
Choose...
Mortgage Requirement (approx.)
£0 - £49k
£50 - £99k
£100 - £149k
£150 - £199k
£200 - £249k
£250 - £299k
£300 - £349k
£350 - £399k
£400 - £449k
£450 - £499k
£500 - £599k
£600 - £699k
£700 - £799k
£800 - £899k
£900 - £999k
£1 - £1.49 million
£1.5 - £1.9 million
Over £2 million
*
Timescale for your requirements
1 - 2 weeks
3 - 6 weeks
7 - 12 weeks
12 - 26 weeks
None
*
Employment Status
Employed Full Time
Employed Part Time
Self Employed
Retired
*
Marital Status
Married
Single
Divorced
Seperated
Widowed
*
Do you, or your partner (if applicable), have any CCJ's, been declared bankrupt or fallen into arrears on an existing mortgage?
Yes
No *
Best Deal 4 U would like to keep you advised via e-mail of products, services and other exciting offers which may be of interest to you. We
WILL NOT
provide your details to 3rd party companies.
I/We hereby give consent for you to call me/us on the details supplied to discuss my/our mortgage requirements