BUSINESS LEASING CUSTOMER CONTACT FORM (If you require any assistance completing this form, please call Customer Services at 0845 146 2601) Title MrMrsMissMsDrSirRev First Name Surname Position Preferred method of contact TelephoneEmailMobile Proposed location of equipment (address where it will be stored overnight) Required Lease Term (tick one only) 1 Year2 Year3 Year Incorporated Company Name or Local Authority Trading Name Partnership or Local Authority Name Trading name (if different from above) Nature or Type of Business Hotels & Guest AccommodationResidential & Care HomesCooking EnthusiastFast Food / TakeawaysPubs / BarsRestaurantContract Caterers / HospitalityEducationLeisureRetail & ManufacturingHealthcare Services / GroupsGovernment ServicesHospitalsProfessional ChefHome BakerGift BuyerStudentOthers Trading Address Business Telephone no. Mobile no. Fax no. Email VAT Reg no. Company Reg no. Time trading at current address Time in business If your business is a sole trader, partnership or unregistered business, please also complete this section: Sole Trader/ Owner Name Business Partner or Partner Full name Date of Birth Home Address Time at Address Years Months Do you own your home? YesNo Bought property when Original Value £ Original Mortgage Value £ Current Value £ Current Mortgage left £ If no what is your residential status RentLeaseLive with partner/spouse If less than 3 years then please provide previous address Time at Address Years Months Please note: This information is collected for and on behalf of Chef Leasing Ltd (registered address: Fourth Way, Avonmouth, Bristol, BS11 8TB) and all information will be processed in accordance with the Data Protection Act Business leasing is subject to contract/status and the collection of information does not guarantee or constitute an offer to provide business leasing Information collected may be used to carry out credit/fraud prevention checks on the individual or organisation concerned. By submitting this form you hereby give your consent to being credit-checked, which may leave a credit check footprint Chef Leasing does not recommend or advise on the suitability of business leasing or products for the particular customer A Chef Leasing representative may be required to contact the customer to confirm or obtain further information or documentation to assist with processing this application Information collected may be used by Chef Leasing’s group companies including Nisbets Plc for internal marketing research or to contact the customer regarding future promotions, products and services. Do you wish to be contacted for marketing purposes? YesNo I confirm that the information I have provided above is true, accurate and will form the basis of a proposal for business leasing use only. I hereby give consent to Chef Leasing Ltd to use the information I have provided to obtain a quote for business leasing.