IDYNAMICS DEMO FORM

i-Dynamics Wincombe Business Centre,Wincombe Park,Shaftesbury,SP7 9QJ

Registered Number 07339248

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Personal Information

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Joint with spouse?

How were you referred to us?

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Word of mouth (who?)

Other

Have you been bankrupt or filed a proposal before, in Canada or elsewhere?

Have you paid for financial advice in the last year?

The details submitted above are to the best of our knowledge and accurate detail of our current financial situation. We understand that this information supplied will form part of the formal application and further information will be required to complete a statement of affairs.

Get in touch to find out more about how we can help your business, or for more information please use the form below; or call us on on: +441722 480100 alternately email us on sales@i-dynamics.com

Monthly Income	Applicant	Spouse
Net employment income
Net pensions/annuities
Net child support
Net spousal support
Net employment insurance
Net social assistance
Self-employed net income