Corporate Lease Application

Company InformationCompany Full Legal Name 
Address 
City 
Province 
Postal Code 
Phone 
Fax 
Contact Person 
Business Type: 
 Incorporation  Partnership  Proprietorship
Length of time in business 
Number of employees 
Type of Business 
If Proprietorship / Partnership or less than 3 years in business complete the following sectionOwner/Principal full legal name 
Social Insurance Number 
Date of Birth MM/DD/YY 
Home Address 
City 
Province 
Postal Code 
Own / Rent / Other 
How Long 
Monthly Rent / Mortgage 
Balance of Mortgage 
Value of Home 
Equipment DetailsSupplier 
Phone Number 
Contact 
Equipment Description 
Amount 
Term Requested 
Equipment: 
 New  Used
YOU CONFIRM THAT THE INFORMATION YOU HAVE GIVEN US IN RESPECT OF THIS APPLICATION IS TRUE AND COMPLETE, AND YOU AUTHORIZE US TO RELY ON AND USE THIS INFORMATION IN ORDER TO CONFIRM YOUR CREDIT WORTHINESS, IN RELATION TO THE FINANCING CONTRACT BEING ENTERED INTO IN PARTICULAR, YOU AGREE THE WE, OUR AFFILIATES AND ANY THIRD PARITIES ACTING FOR US OR ON OUR BEHALF  (HEREINAFTER COLLECTIVELY "US", "WE" OR "OUR"), MAY OBTAIN A CREDIT REPORT OR OTHER CREDIT INFORMATION FROM ANY CREDIT REPORTING AGENCY, CREDIT BUREAU OR CREDIT GRANTOR, AND MAY HOLD, USE, EXCHANGE AND DISCLOSE SUCH INFORMATION FOR THE DISCLOSE SUCH INFORMATION FOR THE PURPOSE IDENTIFIED ABOVE.  IF YOUR APPLICATION IS APPROVED, YOU AUTHORIZE US TO COLLECT, HOLD, USE, EXCHANGE AND DISCLOSE YOUR PERSONAL INFORMATION, AS REQUIRED, IN ORDER TO ADMINISTER YOUR CONTRACT, DETERMINE YOUR INSURANCE ELIGIBILITY AS REQUIRED, IN ORDER TO ADMINISTER YOUR CONTRACT, DETERMINE YOUR INSURANCE ELIGIBILITY, AND SECURE THE ASSETS BEING FINANCED, OR AS REQUIRED OR PERMITTED BY LAW, YOU ALSO AUTHORIZE US O USE YOUR PERSONAL INFORMATION FOR INTERNAL STATISTICAL ANALYSIS PURPOSES. WE WILL KEEP A FILE CONTAINING SOME OR ALL OF YOUR PERSONAL INFORMATION AT 200 7909 FLINT RD SW, CALGARY, AB T2H 1G3 FROM TIME TO TIME.  YOU HAVE A GENERAL RIGHT OT ACCESS AND RECTIFY THE PERSONAL INFORMATION IN THIS FILE BY MAKING A WRITTEN REQUEST TO THE ABOVE ADDRESS, ATTENTION: PRIVACY OFFICE. 