CREDIT APPLICATION FOR LEASING
First Name Last Name Job Title Company Legal Name Company Operating Name Billing Address City
Province OntarioAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutPrince Edward IslandQuebecSaskatchewanYukon
Postal Code Phone Fax Email Business Description Age of Business (Years) # of Employees
Equipment Description Additional Details Total Equipment Cost (Before Tax) *Applicable taxes will be applied to lease.
!By submitting this application, the user confirms that the applicanat, 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.