FINANCE | Surgically Clean Air

Please complete the form below to complete your finance application.

BUSINESS NAME

BUSINESS STRUCTURE

BUSINESS ADDRESS

YEAR ESTABLISHED

PHONE

Supplier: [Surgically Clean Air UK & Ireland]

Equipment details: [Surgically Clean Air Jade Air Purifier]

Your order

NUMBER OF UNITS

ORDER QUANTITY - PLEASE TYPE

Interest free calculations - Example of 1 Jade unit

Cost £1,500
VAT £300
Total £1,800

12-month Interest Free
1 initial repayments of £150 followed by 11 monthly repayments of £150 per month

Total charge for credit £0.00
Total Repayable £1,800.00 inc VAT
APR 0% Representative

Other finance options are available form Snowbird Finance Ltd – this can be mentioned at beginning of finance application page.

Details of Principals, Owners or Directors

(PLEASE INCLUDE ALL DETAILS)

FULL NAME

MOBILE NUMBER

EMAIL ADDRESS

Additional Principals, Owners or Directors:

FULL NAME

MOBILE NUMBER

EMAIL ADDRESS

FULL NAME

MOBILE NUMBER

EMAIL ADDRESS

Marketing consent

I would like to be contacted with the latest news and offers from Snowbird Finance Limited by:

Post

Telephone

I would like to be contacted with the latest news and offers from other members of the Snowbird Financing Limited relating to asset finance services, financial advisory and investment services, deposit account services and/or premium finance services by:

Post

Telephone

To find out more about how your personal data will be used by Snowbird Finance Limited, please visit the Snowbird Finance Limited website (or privacy section).

I confirm that Snowbird Finance has the authority to seek a credit check for this Finance Application using credit reference agencies and that the marketing preferences selected are correct.

NAME

POSITION

DATE

Surgically Clean Air trading as Quintess Denta Limited, 5 Mill Street Irvinestown, BT94 1GR, Fermanagh, Northern Ireland. are an Introducer Appointed Representative of Snowbird Finance Ltd (661943) who are a broker authorised and regulated by the Financial Conduct Authority and is a member of the National Association of Commercial finance brokers. Finance is only available to residents of the UK over 18 years of age, for business use, and is subject to status. Terms and conditions apply. For more information visit www.snowbirdfinance.co.uk. By completing this application form, you authorise Quintess Denta Ltd to share this information with Snowbird Finance Ltd who will then use the information to start an application for Credit. You will be subject to a credit search, that could affect your credit rating and may be contacted to discuss your application further.

Thank you for completing this finance proposal. Your proposal will be processed within the next 5 working days.

UK & IRELAND