Loan Application Form

£10,000

£30,000

1 year

36 years

Your repayments will be every month

Total you will Pay:

Apply for this Loan

Enter your details below. All fields are required

Your Name

Email Address

Telephone Number

• Reason for Loan:
• Buy Tacos
• Buy Pizza
• Buy Beer

Message

Reason for loan Buy a Banjo Ride a Donkey Eat a Melon Choose an aminal Iguanas Panda Bears Giraffes Kittens Penguins

• Choose one:
• Maybe
• No
• Yes

Company Name

Registration Number

Address

Fill in this field

Answer the sum: 7 - 4 =

Send application details to your email address

I consent to my data being retained by the site owner after the application has been processed.

I agree to the Terms and Conditions

Enter the word YES in the box:

When someone completes the form you will get an email with all the form data. You also have the option to send them a personalised thank-you message and details of their application.

If you want to store their details there is a consent option. This is going to be quite important in Europe with GDRP and Privacy legislation now in force.

All applications are saved in the database and accessed from your dashboard by clicking on the ‘Applications’ link. If consent is not given after processing you have the option to delete individual applications or download the data as an email report.

You can also approve, edit or delete applications.

Progress Tracking

You now have the option to monitor how many people will in your form and update the status of applications. See here for more details.

The Full Monty

You can now have a full loan application form on your site. It comes in two parts: the initial lead generator (to capture their details) and then the loan application where you get all their financial details.

Test the two part application form