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Cashback Card Application

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Company Name

Company Registration Number

Company Email Address

Business Details

Please provide further details about your business finances and directors.

Complete both sections to proceed.

Business Finances

Turnover (£)

In the last financial year, did you make a profit?

Profit

£0 - £50K £50K - £100K £100K - £1M £1M+

Loss

£0 - £50K £50K - £100K £100K+

Does the main business bank account have an overdraft? Yes No

Overdraft Limit (£)

Amount Used (£)

Has the business borrowed more than £25,000 in the past 12 months? Yes No

Amount Borrowed (£)

Type of Finance

Director & Shareholder Details

Total Share Ownership: 0%

You need at least 50% ownership to proceed.

Add/Edit Director

Full Name

Date of Birth

Share Percentage (%)

Current Address

Postcode

Select Address

Address Line 1

Address Line 2

City

How long at this address? Less than 3 years More than 3 years

Previous Address

Postcode

Select Address

Address Line 1

Address Line 2

City

Application Submitted

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