011 764 1933
info@renewedgroup.com
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Authorised FSP no 52167
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Menu
Home
About Us
Our Insurance Solutions
Our Finance Solutions
Bicycle Finance
Bicycle Finance Application Form
Bicycle Repayment Calculator
Some Regular Dealers
Business Funding
Fleet
Industrial
Agriculture
Contact Us
BICYCLE FINANCE APPLICATION FORM
Please Choose
Business
Personal
Applicant Name and Surname
Reg. / ID No
Street Address
Code
City
Province
Country
Cellphone Number
Email
Where did you hear about us?
Website
Advert
Social Media
A Friend
A Bicycle Shop
A Cycling group
Done business with us before
Other
Please Choose
LTD (PTY)
CC
SOLE PROPRIETOR
PARTNERSHIP
INDIVIDUAL
Dealer
Sales Representative Name
Sales Representative Number
Sales Representative Email
Bicycle Make and Model
Equipment Price (Incl VAT)
Equipment Quality (Please Choose)
NEW
USED
Rental Term
12 Months
24 Months
36 Months
FOR BUSINESS APPLICANTS: DOCUMENTS NEEDED: 3 MONTHS BANK STATEMENTS, COMPANY REGISTRATION DOCUMENTS, COPY OF ID(DIRECTOR/SHAREHOLDERS)
FOR INDIVIDUAL APPLICANTS: DOCUMENTS NEEDED: 3 MONTHS BANK STATEMENTS, 3 MONTHS SALARY ADVISES, COPY OF ID
Please read:
I /We agree that Renewed Group (Pty) Ltd / Finmarque (Pty) Ltd or its cessionary may make inquiries to confirm any information provided by the Company to Renewed Group (Pty) Ltd/Finmarque (Pty) Ltd or its cessionary and that Renewed Group (Pty) Ltd/Finmarque (Pty) Ltd or its cessionary may verify the information and obtain additional information from Experian, a registered credit bureau, or any other third party source (including my bank and CIPC) when assessing the information provided herein. I authorise Renewed Group (Pty) Ltd/Finmarque (Pty) Ltd or its cessionary to conduct a credit report on the Company, and warrant that all the directors and/or members have consented to the Company instructing Renewed Group (Pty) Ltd/Finmarque (Pty) Ltd or its cessionary to conduct the credit enquiry on the Company. In the event of the company settling invoices by debit order, Renewed Group (Pty) Ltd/Finmarque (Pty) Ltd or its cessionary will be required to do an account verification check to verify that banking details provided by the Company on the debit order authorisation form, are correct, I hereby authorise such an enquiry. We furthermore consent to Renewed Group (Pty) Ltd/Finmarque (Pty) Ltd or its cessionary submitting our information, including payment profile and default information and any other relevant information, to any credit bureaux (including to Experian itself) and to allow Experian to release the information for lawful purposes to third parties. I furthermore warrant that all information supplied to Renewed Group (Pty) Ltd/Finmarque (Pty) Ltd or its cessionary is to the best of my knowledge true and correct, that I am not aware of any other information that would affect the services application of the Company in any way and that I am authorised to submit this document. I have read and agreed to Terms of Service:
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