J & S Accessories, Doncaster UK - Motorcycle Dealers

Fill out the form below and one of our operators will get back to you as soon as possible with a decision or to disusss other options.

Info about the motorcycle you would like to buy:
Does the bike feature on our website?
Make of motorcycle (if the manufacturer you require is not listed please select "other")
Model:
J&S reference (if known)
Year of bike (e.g. 2004/04, 2000/W...etc
Mileage
Value of bike:
Deposit to be paid	(Minimum = £250)
Repayment period	Months

Your personal details:
Title:
First Name:
Surname:
Marital Status
Date of Birth:	(if under 21 a joint hirer is required)
Daytime tel. no. :
Evening/Modile no. :
Email address:
Address line 1
Address line 2
Address line 3
Address line 4
Post Code
Are you:
If other, please specify
Time at this address	years
Previous address (if at above address less than 8 Years)
Address line 1
Address line 2
Address line 3
Address line 4
Post Code
Were you:
If other, please specify
Time at this address	years
3rd address (if at above address less than 8 Years)
Address line 1
Address line 2
Address line 3
Address line 4
Post Code
Were you:
If other, please specify
Time at this address	years

Your employment details
Your current occupation
Employers Name:
Address line 1
Address line 2
Address line 3
Address line 4
Post Code
Weekly net salary
Time with this employer	years months
Previous employer (if with current employer for less than 8 years)
Employers Name:
Address line 1
Address line 2
Address line 3
Address line 4
Post Code
Weekly net salary
Time with this employer	years months
3rd employer (if above 2 employments total less than 8 years
Employers Name:
Address line 1
Address line 2
Address line 3
Address line 4
Post Code
Weekly net salary
Time with this employer	years months

Bank Details
Bank Name:
Bank Address line 1
Address line 2
Address line 3
Address line 4
Post Code
sort code
Account No.
Number of years account held	years
Do you have a Debit card?
No. of credit cards held:
PLEASE NOTE: By clicking the submit button the information is e-mailed to J&S Accessories Ltd who may perform a search with a credit reference agency who will retain a record of the data. Following a successful application certain details will be recorded in accordance with the data protecion act. They will not be used for any other purposes without your expressed permission. We will not record any of the information provided and will erase it from our records as soon as it has been used for the purposes of the financial enquiry.