CREDIT APPLICATION FOR LEASING

CORPORATION APPLICATION FORM

    Contact Information

    First Name
    Last Name
    Job Title
    Company Legal Name
    Company Operating Name
    Billing Address
    City

    Province

    Postal Code
    Phone
    Fax
    Email
    Business Description
    Age of Business (Years)
    # of Employees

    Equipment Information

    Equipment Description
    Additional Details
    Total Equipment Cost (Before Tax) *Applicable taxes will be applied to lease.

    Principal Information

    How many Principals are there?

    Principal #1

    First Name
    Initial
    Last Name
    Home Address
    City

    Province

    Birth Date

    Principal #2

    First Name
    Initial
    Last Name
    Home Address
    City

    Province

    Birth Date

    Principal #3

    First Name
    Initial
    Last Name
    Home Address
    City

    Province

    Birth Date

    Principal #4

    First Name
    Initial
    Last Name
    Home Address
    City

    Province

    Birth Date

    !By submitting this application, the user confirms that the applicant, any principal and/or any guarantor have consented to: the collection, use and disclosure of personal information for the purposes of credit adjudication by the Lessor and its funders and to enable the Lessor and its assignee's to provide leasing services; and the Lessor and its funders obtaining information from credit reporting agencies and listed references in connection with this application.