1GETTING IN THE VAN2ADJUSTING THE MIRRORS3PUTTING IT IN DRIVE Company InformationLegal Company Name*Operating As*Company Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Time at Address*Nature of Business*Business / HST #*Year Established*Please select a year< 199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019Province of Incorporation*Please select a provinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukonBusiness Type* Corporation Partnership Proprietorship Number of Employees*Annual Sales*Net Worth*Financial Statements Available?* Yes No Are your statements audited?* Yes No Accountant Name*Accountant Phone*Internet Address Guarantor InformationGuarantor First Name*Guarantor Last Name*Mobile Phone*Email Address* Date of Birth* MM slash DD slash YYYY Current Address* Street Address City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Are you a home owner?* Yes No Do you have a mortgage?* Yes No Your Coveted VehicleYear / Make / ModelLease / Loan Term24 Months36 Months48 Months60 MonthsSales Rep or DealerIf someone was helping you at one of our locationsPrivacy* I hereby agree to the Privacy Policy. In addition, I understand that information provided in this form will be utilized to obtain data for the purposes of qualifying me for a lease or loan based on my current credit trends, behavioural patterns and credit history. It may also be released to and utilized by third parties, including telecommunications service provider(s) and/or other financial institutions, to validate identity and adjudicate risk. * CommentsThis field is for validation purposes and should be left unchanged.
