Sun, 06 July 2008
contact us
 
Title:
 *
First name:
 *
Surname:
 *
Date of birth:
* (dd/mm/yyyy)
Work Telephone:
*
Home Telephone:
Mobile:
Email Address:
Account information
Account Number\Our Ref:
*
   
Your offer of repayment
Total amount owed: £
*
I would like to repay over:
*
Over long would you like?
Months *
Estimated repayment amount:
Full and Final settlement offer: £
*
Date of first payment:
*  (dd/mm/yyyy)
Your method of payment
Method of payment:
*
Name of account holder:
*
Branch sort code:
-
-
*
Bank account no:
*
Further information
Reason for being unable to pay in full:
*
Please give information
Do you have a full financial statement for justify your offer?
*
Message:
 
 
Roxburghe call centre hours
Mon - Fri:
08:00-20:30
Sat:
 09:00-13:00
Sun:
 Closed
Bank Holidays:
Closed
Telephone:
 0870 7446 250
 
 
 
 
 
 
 
 
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