Request a Quote for Invoice Finance

Fields marked with an asterisk (*) are required fields, and must be completed before submitting the form.

Contact Details

* Name:


		Firstname		Surname

* Address:

* Postal Code:

* Telephone:

Fax:

Mobile:

* E-mail Address:

* Preferred method of contact?:

Company Details

* Company Name:
* Trade Name (If applicable):
* Are you a:
Date business established:	DD/MM/YYYY
* Your main business activities are?
Are the business premises?	If other, please State
Number of Directors:
Number of Employees:
Are Directors CV's available?
Are directors guarantees available?
Are three years accounts available?
Are any draft / Interim accounts available?
Are last 6 months bank statments available?
If you answered yes to any of the above questions, Please give further details.
What is your Annual turnover?	£
What is your Annual Profits?	£
What is your Business Assets?	£
What is your Business Liabilities?	£
What is your Business Net Worth?	£
Why do you wish to use?
What Product(s) does your Company sell?
Present Credit Terms?
Number of Customers?
What are your Net Sales?
What is your Maximum Invoice value?
What is your Minimum Invoice value?
Total Number of Invoices Per month?.
Other Issues to be taken into account (this may include goods on a sale or return basis / guarantees etc:

Credit History

* Have you ever been declared bankrupt ?
* Do you have CCJ's defaults or arrears?
* Do you have any pending court proceedings against you?
* If you answered Yes to any of the above questions, Please Give further details.

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Please note: By sending us your information you agree to a representative from Tees Valley Finance Ltd or it's associated companies contacting you. We do not send nor sell your details to unconnected third parties, nor will you receive any marketing material as a result of submitting this form.