If you have any questions – about completing this form, how our loans work, or about Mission Housing please don’t hesitate to get in touch with Crystal by phone (020 8318 4432) or email (crystal@missionhousing.org.uk).

This application is being completed by

An IndividualA CoupleAn Organisation

This application is made on the terms below and subject to the rules of Mission Housing.

I can confirm that I have read and accept and understand the full Terms and Conditions for this loan.

We can confirm that we have read and accept and understand the full Terms and Conditions for this loan.

I have read the Risk Factor Notice and am aware of the risks involved in making a loan to Mission Housing.

We have read the Risk Factor Notice and are aware of the risks involved in making a loan to Mission Housing.

Applicant 1 (Primary Contact)

Title

First Name

Last Name

Email Address

Phone Number

Date of birth

To enable us to perform identity checks

Address

House name / number, Street name, Village

Town / City

County

Postcode

Second Applicant

Title

First Name

Last Name

Email Address

For security purposes, if possible, please use a different email address from the first applicant.

Phone Number

Date of birth

To enable us to perform identity checks

Organisation

Name of Organisation

Company No:

Charity No:

Registered Address

House name / number, Street name, Village

Town / City

County

Postcode

First (Primary) Contact

Title

First Name

Last Name

Email Address

Phone Number

Position held:

Primary Contact Address

Use Organisation address

House name / number, Street name, Village

Town / City

County

Postcode

Second Contact

Title

First Name

Last Name

Email Address

Phone Number

Position held:

Secondary Contact Address

Use Organisation address

House name / number, Street name, Village

Town / City

County

Postcode

You communication preferences

Holding and processing your personal data in relation to your loan is outlined in our Terms and Conditions, Privacy Statement and Privacy Policy. You are not obliged to sign up to receive regular updates about the work of Mission Housing, however we would love it if you wanted to be involved in our work in this way.

I would like to stay up to date – via email – with Mission Housing’s news and how I can give, pray and other ways I can get involved.

YesNo

Thank you. The form is now ready to submit.

IMPORTANT - After submitting the form you will taken to a confirmation page. This allows you to print your submission, and check it prior to final submission - Please ensure you do this step.

Loan pledge to Mission Housing

If you have any questions – about completing this form, how our loans work, or about Mission Housing please don’t hesitate to get in touch with Crystal by phone (020 8318 4432) or email (crystal@missionhousing.org.uk).

This section is about the loan you would like to make.

Please read the following carefully.

In order to lend money to Mission Housing you need to agree to the following:

You communication preferences

IMPORTANT - After submitting the form you will taken to a confirmation page. This allows you to print your submission, and check it prior to final submission - Please ensure you do this step.