Client Information Collection

Please complete the form below and press Send to E C Legal.

This will allow us to get the process started.

You have no obligation to continue until you confirm our engagement by payment of our legal fees.

OUR CLIENT – the borrower or guarantor named in the loan documents

Your Name:*

Your Residential Address:*

Email:*

Your Telephone

Mobile:*

Home:

Office:

Amount of Loan:*

Is the loan to you personally or to a company or trust?:*

Personal Company or Trust

In case of Company or Trust, please fill in the following details:

Name of Company or Trust:

In case of other borrowers / guarantors named in the loan document, please give their names below:

Person #1

Name:    

Email:    

Telephone:

Person #2

Name: 

Email: 

Telephone: 

Person #3

Name:  

Email:  

Telephone:  

Please enter your lender details below:

Lender

Name of Lender:*

Contact Person for Lender:*

Lender's Email:*

Lender's Telephone:*

Lender's Reference:*

Please enter your broker details below:

Broker

Name of Broker:*

Contact Person for Broker:*

Broker's Email:*

Broker's Telephone:*

Broker's Reference:*

I confirm that I have provided all the information available to me and have read and understood the advice given by E C Legal to date.*

Security Code*

You have no liability to proceed further or to pay E C Legal by sending the above information.