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Personal Application Form

Information Notice

To proceed with a vehicle contract hire / consumer credit finance request, we are obliged to bring the following information to your attention:

We are Cort Vehicle Contracts Ltd T/A Car And Van Discount and our registered office is Unit 6 Dalton Court, Commercial Road, Darwen, England, BB3 0DG

We are a broker of vehicle finance for regulated contract hire and consumer credit finance, a credit broker.

We are regulated by the Financial Conduct Authority. Registered No : 669644

We are not a lender

For us to proceed further in supplying our Brokering Services, please can you reply to this 'Information Notice' confirming that the details contained in it are yours, accurate and that you are content to proceed. Any undue delays in receiving confirmation may impact on the finance rates quoted.

When you select "Continue to application" below you will be redirected to our secured finance application form, giving you the peace of mind that the information we are collecting from you is secure and encrypted.

Once you have completed the application form you will be redirected back to our website with a confirmation that the application has been received.

Please enter your details to continue

Full name
Address
Postcode
Tel. no
Email
I confirm I have read and understand the above notice.
Continue to application
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