Baylore Canada Application

Baylore Application

Equipment and consent signature for a finance/lease application

Email*

Business Name*

Incorporated / Proprietor / Partnership*

Trade Name (If Different)

Incorporation / Start Date*

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Type Of Business*

Number Of Employees*

Business Address*

Phone Number*

Shareholder/Partner/Owner 1 Name*

Owner 1 Date Of Birth*

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Owner 1 Title*

Owner 1 Home Address*

Owner 1 Own Or Rent*

Owner 1 Percent Ownership*

Owner 1 City*

Owner 1 Province*

Owner 1 Postal Code*

Owner 1 Cell Phone*

Shareholder/Partner/Owner 2 Name

Owner 2 Date Of Birth

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Owner 2 Title

Owner 2 Home Address

Owner 2 Own Or Rent

Owner 2 Percent Ownership

Owner 2 City

Owner 2 Province

Owner 2 Postal Code

Owner 2 Cell Phone

Shareholder/Partner/Owner 3 Name

Owner 3 Date Of Birth

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Owner 3 Title

Owner 3 Home Address

Owner 3 Own Or Rent

Owner 3 Percent Ownership

Owner 3 City

Owner 3 Province

Owner 3 Postal Code

Owner 3 Cell Phone

Vendor*

Vendor Location*

Contact Name*

Telephone Number*

Equipment Year*

Make*

Model*

Selling Price*

Trade In (If Applicable)*

Trade In Value*

Cash Down Payment*

Amount To Finance/Lease*

Signature 1*

Draw Type Upload

Choose your signature image

Date 1*

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Signature 2

Draw Type Upload

Choose your signature image

Date 2

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Signature 3

Draw Type Upload

Choose your signature image

Date 3

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