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If you would like to receive further details of our Mortgage packages,
contact us at the numbers below:
Gerard Malone: (087) 645 1144
Gerard@connollygaw.com
Rory O'Hanrahan: 087 2536459
Rory@connollygaw.com
Alternatively, complete this form to enable us to give you a mortgage quotation:
(*required)
Name of Applicant no.1*
Date of Birth*
Name of Applicant no.2
Date of Birth
Address*
First Time Buyer*
Yes
No
Investor*
Yes
No
Re-Mortgage*
Yes
No
Phone Number*
Deposit available*
Yes
No
Outstanding Loans*
Yes
No
Loan Balance*
Monthly Loan Repayments*
Salary
Applicant No1
[net monthly]*
Salary
Applicant No2
[net monthly]
How is your Credit Rating
Select....
Excellent
Good
Fair
Poor
How can we help you? Please enter your details.
This form is for quotation purposes only and is not confirmation of a quote or insurance cover. Insurance cover will only commence on receipt of a completed proposal form, payment and written confirmation from Connolly Gaw Insurances.
Connolly Gaw Insurances Ltd is authorised by the Financial Regulator as an Authorised Adviser.
Connolly Gaw Insurances Limited
- Unit F7, Nutgrove Office Park, Nutgrove Avenue, Rathfarnham, Dublin 14, Ireland
Phone: +353 (01) 216 9952
Fax: +353 (01) 298 9368
Email:
info@connollygaw.com
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