<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%> <% if Request.Form("FFSubmitted") = "yes" then Dim BodyString Dim ExcludeFields Dim objCDO Dim RedirectURL Set objCDO = Server.CreateObject("CDONTS.NewMail") ExcludeFields = "FFSubmitted;" & "" objCDO.From = "enquiry@fisherindependent.co.uk" objCDO.To = "simon@FisherIndependent.co.uk" objCDO.Cc = "" objCDO.Bcc = "" objCDO.Subject = "Website Feedback Form" BodyString = Replace("","~",chr(13) & chr(10) )& chr(13) For Each item In Request.Form If InStr(1,ExcludeFields,item,1) = 0 then BodyString = BodyString & item & ": " & Request.Form(item) & chr(13) End If Next objCDO.Body = BodyString objCDO.BodyFormat = 1 objCDO.MailFormat = 1 objCDO.Send Set objCDO = Nothing RedirectURL = "form_response.asp" If RedirectURL <> "" then If Request.QueryString <> "" Then response.redirect(RedirectURL & "?" & Request.QueryString) else response.redirect(RedirectURL) end If end if end if %> <% MM_EditAction = CStr(Request("URL")) If (Request.QueryString <> "") Then MM_EditAction = MM_EditAction & "?" & Request.QueryString End If %> Fisher Independent Mortgages - 01234 355533 -
Fisher Independent Mortgages
Financial Services Authority

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Enquiry Form

To get a call back you can just enter your name and telephone number

Name :

Telephone :

Email:

Best time to call:

And then click below and I will try to call you when you have requested...

But it would be more helpful if you could give fill in the details below as well, and then I will be able to do some work before I call you or email you. If you don't know all of the answers don't worry, just fill in what you can!

Applicant 1:  
Full Name:

Date of Birth:

Full Address:
Time at current address
Are you ->
Marital Status:
No of dependents:
Age of dependents:
Home Telephone
Work telephone
Mobile Telephone
Occupation
How long in current employment
Are you ->
Previous occupation if less than 1 year
Are you in a probationary period?
Last 3 years accounts if self employed Year Amount £
Year Amount £
Year Amount £
What are your earnings ?  
Basic
Guaranteed Bonus/Overtime
Regular Bonus/Overtime
Are you ->
If other please give details
Intended retirement age
Details of any credit problems

Monthly commitments
(loans, credit cards, school fees etc.)

 £
Are you ->
If other please give details
Applicant 2  
Full Name:

Date of Birth:

Full Address:
Time at current address
Are you ->
Marital Status:
No of dependents:
Age of dependents:
Home Telephone
Work telephone
Mobile Telephone
Occupation
How long in current employment
Are you ->
Previous occupation if less than 1 year
Are you in a probationary period?
Last 3 years accounts if self employed Year Amount £
Year Amount £
Year Amount £
What are your earnings ?  
Basic
Guaranteed Bonus/Overtime
Regular Bonus/Overtime
Are you ->
If other please give details
Intended retirement age
Details of any credit problems

Monthly commitments
(loans, credit cards, school fees etc.)

 £
Are you ->
If other please give details
If you have an existing mortgage  
How much is it? £
Which lender?
Type of loan (fixed, variable, discount etc.)
What is your current interest rate?
When does the rate end?
Term remaining
Repayment type
Are there any penalties if you transfer or repay your mortgage now?
(please give details)
Purchase price of new property
(or valuation if remortgaging)		 £
How much do you want to borrow? £
Over how many years?
What deposit do you have available? £

 

Is there any other information that you think is relevant?
   

Thanks for taking the time to fill out all your details.