Leasing Application

If your business has been in operation for less than two years, please download and fill out this form. application.pdf Once the form is filled out, please fax it to us at 604.942.4117

Company Information

Legal Company Name
Contact Person
Address
City
Province
Postal Code
Phone Number
Fax Number
Email
Equipment Information
Amount of Purchase
Term Requested
Equipment Description

CREDIT INVESTIGATIONS: I / WE (THE "APPLICANT AND CO-APPLICANT") HEREBY CONSENT TO QUALICA FINANCIAL GROUP INC, ("QUALICA"), OR ANY AGENT ACTING ON IT'S BEHALF, CONDUCTING A CREDIT INVESTIGATION INCLUDING SUCH REQUESTS FOR INFORMATION FROM CONSUMER REPORTING AGENCIES OR CREDIT GRANTORS AS IT MAY REQUIRE TO APPROVE THE CREDIT HEREBY APPLIED FOR AND CONSENT TO THE DISCLOSURE FROM TIME TO TIME OF ANY PERSONAL OR CREDIT INFORMATION CONCERNING ME / US TO ANY CONSUMER REPORTING AGENCY OR ANY CREDIT GRANTOR WITH WHOM I / WE MAY HAVE OR PROPOSE TO HAVE DEALINGS.

Margherita
© 2007 The Connections Group