RFQ

REQUEST FOR QUOTATION

Complete the following form to receive a preliminary quotation delivered to your email address. If, after receiving the preliminary quotation, you would like to proceed with the application, follow the link received with the quotation, accept the quotation and complete the online application form.

For any question contact us on +27 12 436 0900 or send an email to info@finsa.co.za

RFQ

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CONTACT INFORMATION

First Name:

Last name:

Marital Status

ID number:

Email:

Contact number:

Net monthly income:

Additional income:

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CONTRACT INFORMATION

Applicant type:

Business name:

Application type:

Full description of item:

Repayment term:

Loan amount:

Deposit:

Supplier/Agent:

ID copy:

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Proof of residency:

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Other:

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Protection of personal information:

FINSA is subject to the POPI Act and undertakes to protect personal information and to only use such information for the purpose of the request for quotations and finance applications.

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I/We hereby give consent to FINSA to record, store and process the information provided in this form.

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I/we hereby give consent to FINSA to do a credit check on the applicant/s.