XL Aesthetics Finance Eligibility Form

Business Name *

Address *

Business Address

City

State

Country

Eir Code

Type of Business (if applicable) *

Sole Trader

Partnership

Limited Company

Business Not Registerd

New Start or Established Business *

New Start (established less than 2 years)

Established Business (established over 2 years)2

How many years has your business been established (if applicable) *

Email *

Phone *

Details for Sole Trader, Partners & Directors:

First Name *

Last Name *

Date of birth *

Home Address (For last 3 Years) *

Postcode (For last 3 Years) *

Are you a homeowner? *

Yes

No

Renting

Living With Parents

If you are not a homeowner, are you able to provide a guarantor who is a homeowner? *

Yes

No

Not Required

Describe your credit rating 1 to 10 (1 being very poor, 10 being excellent) *

Do you have any historic financial issues such as an IVA, CCJ, or bankruptcy? *

Name, DOB, and address of any other directors or partners (if applicable) *

FINANCE TYPE *

Interest Free (up to 12 months)

Standard Lease Finance (2-5 years)

Buy Now, Pay Nothing For 3 Months (2-5 years)

Buy Now, Pay Nothing For 6 Months (2-5 years)

What is the maximum deposit you have available (If needed)?

Additional Notes

XL Aesthetics values your privacy and is committed to keeping your personal information secure. We will only use your details to manage your account and deliver the products or services you request. Occasionally, we may send you updates about our offerings or other information we think may be relevant to you. If you’re happy to hear from us, please confirm by selecting the checkbox.

I consent to XL Aesthetics storing and processing my personal information and sharing it with selected third-party finance or leasing providers where necessary. I also agree that these providers may carry out a credit check as part of their assessment.

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