Stock / Inventory Finance

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NOTE: This form refers ONLY to the above product solution:

Surname:*

First Name:*

Lead Provider No. (if applicable):

Legal Entity Name:

Cell No:*

Alternative No:

Email:*

City or Town:*

Province:*

Do you have confirmed orders?:

What is the value of the confirmed orders?:*

What is your annual Turnover (sales)?:*

Do you have 2 years Audited Financials?:

What is your stock value?:*

Amount Required?:

Lead Provider Name:

Lead Provider Business Name:

Lead Provider Number:

Where did you hear about us?:*

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Internet advert
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