Financing Request

Equipment

Vendor *

Equipment to be leased *

Cost *

Preferred Lease Term *

Company Application Information

Legal Business Name*

Contact Name*

Operating Name*

Contact Position*

Business Address*

City*

Business Province/State*

Postal/Zip*

Business Phone*

Business Fax*

Business Email*

Nature of Business*

Years In Business*

Years Incorporated*

Annuel Gross Sales

Company Reference Information

Business Bank*

Branch Location*

Account Number*

Contact Officer*

Phone*

Personal Applicant/Guarantor Information

Applicant Legal Name*

Applicant Title*

SIN/SSN*

Applicant DOB(MM-DD-YY)*

Home Address*

City*

Province/State*

Postal/Zip*

OwnRent

How Long?*

Value of Home

Mortgage Balance

Annual Personal Income*

Email*

Telephone*

Mobile*

Co-Appliquant / Guarantor

Co-Applicant Legal Name

Co-Applicant Title

SIN/SSN

DOB(MM-DD-YY)

Home Address

City

Province/State

Postal/Zip

OwnRent

How Long?

Value of Home

Mortgage Balance

Annual Personal Income

Telephone

Mobile

Other Products And Services

Econolease offers a broad range of financial products and services. In an effort to add value and enhance savings, it is helpful if you let us know which additional services you would like us to discuss with you.

Working Capital Loans

Merchant Cash Advance

Commercial Electronic Communications Authorization

In an effort to ensure compliance with Canada's Anti-Spam Legislation, Econolease Financial Services Inc., EFS Merchant Solutions Corps., Chef Choice Equipment Rentals Inc. and Services Financial Econolease, requires your consent to receive commercial electornic communications.

Commercial Applicant

Personal Applicant

Co-Applicant

Credit Check Authorization

The above applicant(s) acknowledges that all information is accurate and true and hereby authorizes Econolease Financial Services and all its financial partners to verify both the accuracy and the legitimacy of this information. Econolease Financial Services and all its financial partners are also hereby authorized to obtain, compare and share credit bureau reports and other corporate and personal credit information as may be deemed necessary for the purpose of credit adjudication related to this lease application or any other financial relationship the applicant(s) may wish to have with Econolease Financial Services and its financial partners.