Corporate Lease Application

Filling out this online application form should be simple and easy, but if you do experience any issues or if you would prefer to receive a fax or hardcopy form, please don’t hesitate to call us at (403) 216-1930.

Company Information

Company Full Legal Name

Address

City
Province
Postal Code
Phone
Email
Contact Person


Business Type:

Length of time in business
Number of employees
Type of Business


If Proprietorship / Partnership or less than 3 years in business complete the following section

Owner/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 Details

Supplier
Phone Number
Contact


Equipment Description

Amount
Term Requested
Equipment:


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