Customer Enquiry Form

Please complete the details on the right so that we can select the most appropriate fatoring companies for your situation. We will only allow 2 companies to contact you so that you won't be hounded by everyone, but will get the best deal for you, as they will be competing to provide you with a a competitive quote. There is just this page that needs completing and it should only take you a few minutes. We will send you a confirmation email once we receive your submission and 2 companies from our selected panel will be in touch within 48 (working) hours - Thank You.

All fields marked * are compulsory

Client Details

Name* :
Company :
Address :
Address 2 :
Town :
County :
Postcode :
Email* :
Telephone* :

Client Qualification

Does cash flow affect your business or business growth?* :
Do you offer credit to other businesses or on sales to government?* :

Your Business

Which industry do you work in?* :
Specific* :
Turnover* :
Trading period (years)* :
How much are you owed presently* :
Number of invoices raised each month* :

Your Requirements

Funding required initial sum* :
Funding required ongoing £/% of turnover* :
Are you currently factoring* :
If yes who :
Costs if known :
- Minimum fee :
- Service charge :
- Discount fee :
Contract length current (months)* :

New Arrangement

Please rank what is most important to you
Pricing* :
Service* :
Providing security* :
Some factors, require a minimum term assigned to them is this acceptable?* :
Do you require legal support services where available?* :
Do you require flexibility to set your own credit limits where available?* :
Do you wish for your clients to be managed by an external credit team* :
Do you wish to manage your clients terms yourself where available?* :
Do you require an online service?* :
Do you or fellow directors/principals own their own home/s?* :
Do you require bad debt protection?* :
Do you operate business software for your invoices?* :
You are happy to provide personal security* :

Your Clients

How many clients owe you money?* :
What are your standard terms?* :
Are you clients other businesses* :
Do you sell to the government?* :
If yes (percentage) :
Do you sell in the UK only?* :
If no (percentage) :
Do you receive an official purchase order prior to dispatch of goods, which is signed for and then you raise an official invoice?* :
Do you offer sale or return?* :
Do you offer stage payments?* :
Are you affected by seasonal trade* :

I have read and agree to the terms and conditions* :

Professional Introducers

Customer Enquiry Form