North American Lease Underwriters Inc
#200 2030 Marine Drive, North Vancouver, B.C.
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Fax: (604) 980-4345
Corporation Lease Application Form
THIS FORM CAN BE SUBMITTED 3 WAYS:
.
1.
.
Online:
Complete form using keyboard and click on SEND button at bottom to submit online
2.
Fax:
Print out blank form, complete by hand and send by fax
3.
Mail:
Print out blank form, complete by hand and send by post
Supplier Information
Legal Company Name
Sales Rep
. . . . . . .
May we contact applicant?
. .
YES
. . .
NO
Corporation Information
Legal Company Name
Address
City
Province
Postal Code
Contact
Telephone
Email
Title
Type of Business
Years in Business
Banking Information
Bank
Branch
Telephone
Contact
.
if present bank is less than 6 months, a previous bank is required
Trade References
(minimum of 3 years dealing)
Trade Reference #1
Trade Reference #2
Trade Reference #3
Equipment and Terms
Equipment Type
Equipment Cost
Requested Term
Down Payments or
Special Concerns Discussed
Click on the SEND button to submit your application online.
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