Apply for finance online

If you would like to apply for finance then please complete the following form. Please note, for us to respond to your enquiry promptly the parts labelled in red are essential.

Contact Details

Practice Name

Contact Name


Your Email

Post Code

Choose your profession

What time would you like us to call?

Loan Amount

Loan Amount

Additional Comments

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If you have any questions on any of our other products, please contact us on:

Freephone : 01543439732

Alternatively you can download our application form in PDF format and either email it to, fax it to 0845  6588847, or post it to our contact address:
Download Application Form

The Practice Loan Company PLC
Trent Business Centre
Trent Park
Eastern Avenue
WS13 6RR

Facsimile   :  0845  6588847
E-mail :