Terms & Conditions - Privacy Policy - Frequently Asked Questions
If you are interested in applying for a loan, please complete the application below. *These fields are mandatory.
By ticking this box you agree to the websites Terms & Conditions and the Privacy Policy *
Title Please select Mr Mrs Miss Ms Other *
First Name(s) *
Surname *
Address *
Postcode *
National Insurance Number *
Date of Birth ... *
No of dependant children under 18 *
Gender Please Select Male Female *
Marital Status Please Select Single Married Separated Divorced Living together Other *
What type of accommodation do you live in? Please Select Owner Joint Owner Council Tenant Tenant Living with parents Other *
Date you moved into your current address ... *
Employment Status Please Select Self employed Employed - Full Time Employed - Part Time On Benefits Homemaker Retired Full time student Employed - Temporary Unemployed In armed forces *
Employer
How long have you worked for your employer?
Home telephone number *
Mobile number
Email Address *
When is the best time to contact you? *
Do you have any other loans? Yes No *
Do you have any Credit cards? Yes No *
How much would you like to borrow? *
Purpose of Loan *
How did you find us? Please Select Google Friend Flyer Lenderscompared website Other *
Copperdale Finance Ltd is based on face to face service. If you would like to request a visit from an Agent to discuss your loan application please type your name below. This is an electronic signature.
Signature:
If you prefer not to provide an electronic signature please leave this section blank. You can complete this step of your application with an Agent at the initial visit. The Agent will then call back at a later date to discuss your loan application.
Please send a Copperdale Agent to my home to discuss my loan application
BE SURE THE INFORMATION YOU GIVE IS ACCURATE, IF NOT IT MAY JEOPARDISE YOUR APPLICATION FOR CREDIT.
By applying for this loan, I confirm that I am at least 18 years old, a UK resident and I am not bankrupt. All of the information I have provided to you is true and correct.
If my application is accepted in principle, I understand and agree that, prior to the completion of the application and the release of the loan monies, an agent will visit me in my home to conduct an affordability assessment and complete a consumer credit agreement.
Thank you,your application has been submitted. We will contact you shortly.
Click apply now to complete an online application form
Become an Agent and build your own business...
Find out more >>