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
In Business Since
Nature of Business
Physical Address
City
Province
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

Step 3: Equipment Information
Equipment Description
Estimated Equipment Cost
Equipment Status
New
Used
Equipment Year
Working Capital Amount
Budgeted Monthly Payment
Time Frame
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.

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
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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]

Step 1: Company Information

Step 2: Customer Information

Principal 1

Principal 2

Principal 3

Principal 4

Principal 5

Principal 6

Step 3: Equipment Information

Attachments