EquipmentSelect:
ECA / Master Electricians Quick Credit Approval Form
Equipment Details
Equipment Make:
Equipment Model:
Year:
Amount To Be Financed:
Contact Information
Title
<Please Select>
Mr
Mrs
Miss
Ms
Dr
Prof
First Name
Last Name
Business Name
Email
Work Phone
Home Phone
Mobile
Unit Number
Street Number
Street Name
Suburb
State
NSW
QLD
VIC
TAS
SA
WA
NT
ACT
Outside Australia
Postcode
Preferred Contact Date:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Contact Time:
6:00 am
7:00 am
8:00 am
9.00 am
10.00 am
11.00 am
12.00 pm
1.00 pm
2.00 pm
3.00 pm
4.00 pm
5.00 pm
6:00 pm
7:00 pm
8:00 pm
9:00 pm
10:00 pm
Require Equipment Insurance?
Yes
No
Quote Questionnaire
Have you been in business more than 2 years?
Yes
No
Have you got a clear credit history? (no defaults, this does not include telcos)
Yes
No
Have your current equipment finance facilities been well conducted?
Yes
No
I/We own my/our home and/or investment property (with or without mortgage)?
Yes
No
Can you service the debt on your historical income?
Yes
No
Is the equipment new or if used equipment less than 10 years old?
Yes
No
Will the equipment be used for business purposes?
Yes
No
My/Our business financial statements (Tax returns) for 2009/10 financial year have been completed by my/our accountant?
Yes
No
Is amount to be financed less than 100,000.00?
Yes
No
Do you give your consent for a credit reference to be obtained via Veda Advantage?
Yes
No
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