Applying For
Lease/Finance
Working Capital
Both
Step 1: Company Information
Step 2: Customer Information
Step 3: Equipment Information
Step 1: Company Information
New Company
Existing Company
Legal Company Name
Operating Name (DBA)
Business Type
---
Incorporated
Limited Liability Company
Limited Liability Partnership
Partnership
Sole Proprietorship
Credit Union
Federal Organization
Non-Profit Organization
State/Provincial Organization
Unincorporated
Unknown
In Business Since
Nature of Business
Physical Address
City
Province
---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Business Phone
Ext.
Business Fax
Email Address
Website
Average Annual Revenue
Average Bank Balance
Net Annual Income
Total Company Debt
Total Corporate Assets
Other Corp. Credit Types
Credit Card
Line of Credit
Loan
Lease
Step 2: Customer Information
Principal 1
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Last Name
Job Title
Percent of Ownership
Home Address
City
Province
---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Home Phone
Mobile Phone
Email Address
Social Insurance Number
Date of Birth
Marital Status
---
Single
Married
Divorced
Widowed
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Personal Annual Income
Source of Income
Additional Annual Income
Additional Income Source
Shareholder Equity
Other Assets
Other Personal Debt
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 2
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Last Name
Job Title
Percent of Ownership
Home Address
City
Province
---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Home Phone
Mobile Phone
Email Address
Social Insurance Number
Date of Birth
Marital Status
---
Single
Married
Divorced
Widowed
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Personal Annual Income
Source of Income
Additional Annual Income
Additional Income Source
Shareholder Equity
Other Assets
Other Personal Debt
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 3
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Last Name
Job Title
Percent of Ownership
Home Address
City
Province
---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Home Phone
Mobile Phone
Email Address
Social Insurance Number
Date of Birth
Marital Status
---
Single
Married
Divorced
Widowed
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Personal Annual Income
Source of Income
Additional Annual Income
Additional Income Source
Shareholder Equity
Other Assets
Other Personal Debt
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 4
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Last Name
Job Title
Percent of Ownership
Home Address
City
Province
---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Home Phone
Mobile Phone
Email Address
Social Insurance Number
Date of Birth
Marital Status
---
Single
Married
Divorced
Widowed
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Personal Annual Income
Source of Income
Additional Annual Income
Additional Income Source
Shareholder Equity
Other Assets
Other Personal Debt
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 5
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Last Name
Job Title
Percent of Ownership
Home Address
City
Province
---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Home Phone
Mobile Phone
Email Address
Social Insurance Number
Date of Birth
Marital Status
---
Single
Married
Divorced
Widowed
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Personal Annual Income
Source of Income
Additional Annual Income
Additional Income Source
Shareholder Equity
Other Assets
Other Personal Debt
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Principal 6
Remove Principal
Add Principal
New Contact
Existing Contact
First Name
Last Name
Job Title
Percent of Ownership
Home Address
City
Province
---
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Home Phone
Mobile Phone
Email Address
Social Insurance Number
Date of Birth
Marital Status
---
Single
Married
Divorced
Widowed
Home Ownership
Own
Rent
Value of Home
Mortgage Balance
Personal Annual Income
Source of Income
Additional Annual Income
Additional Income Source
Shareholder Equity
Other Assets
Other Personal Debt
Ever Declared Bankruptcy?
No
Yes
Outstanding Judgements or Legal Proceedings?
No
Yes
Step 3: Equipment Information
Equipment Description
Estimated Equipment Cost
Equipment Status
New
Used
Equipment Year
Working Capital Amount
Budgeted Monthly Payment
Time Frame
---
Immediate
Within 30 Days
30 - 90 Days
Not Sure
Preferred Term (months)
Initial Payment Available
Est. Initial Payment %
Reason for Equipment Acquisition
Comments
Please note that you will be able to upload any attachments you wish to include after the initial submission.
By checking this box, I agree with the
Terms of Use
and
Privacy Policy
.
The undersigned certifies the above information to be true and correct. By clicking and checking this box, I consent and authorize GDirect Finance (“GDirect”) and its Lenders and representatives, at any time to obtain on an on-going basis, verify, use, communicate with and disclose to third parties (including credit reporting agencies, credit exchanges, lenders, leasing brokers, and credit grantors, on an on-going basis) any of my credit, financial, and personal information that GDirect deems necessary to complete, service or enforce any lease, ancillary deed or transaction, including but not limited to assignments and securitizations. You authorize us to collect, hold, exchange and disclose your personal information as requested in order to administer your contract & determine your insurance eligibility as required or permitted by law. You also authorize us to use your personal information for internal statistical analysis purposes. If you would like to review your own personal information, correct or revise existing information, have any questions, concerns or comments regarding its application please email
[email protected]
(Attn: Privacy Office) or mail PO Box 1188 STN Fort Langley, Langley BC V1M2S5 Attn: Privacy Office.
Processing...
Thank you for submitting your application. We look forward to working with you. Please expect a sales executive to contact you shortly.
Lease Reference Number:
Working Capital Reference Number:
Attachments
Remove Attachment
Add Attachment
Attachment 1
Attachment 1 Type
---
Attachment 2
Attachment 2 Type
---
Attachment 3
Attachment 3 Type
---
Attachment 4
Attachment 4 Type
---
Attachment 5
Attachment 5 Type
---
Attachment 6
Attachment 6 Type
---
Attachment 7
Attachment 7 Type
---
Attachment 8
Attachment 8 Type
---
Attachment 9
Attachment 9 Type
---
Attachment 10
Attachment 10 Type
---
Attachment 11
Attachment 11 Type
---
Attachment 12
Attachment 12 Type
---
Attachment 13
Attachment 13 Type
---
Attachment 14
Attachment 14 Type
---
Attachment 15
Attachment 15 Type
---
Attachment 16
Attachment 16 Type
---
Attachment 17
Attachment 17 Type
---
Attachment 18
Attachment 18 Type
---
Attachment 19
Attachment 19 Type
---
Attachment 20
Attachment 20 Type
---
Next
Back
For questions about financing, contact
Gavin Randhawa
Phone:
Fax:
Email:
[email protected]
For all other inquiries, contact:
Wade Worthing
Phone:
780-608-9995
Email:
[email protected]
Dev Tools
Clear Cache