Form

For your convenience we have provided a secure online credit application.

STEP 1: VENDOR & TRANSACTION DETAILS
Vendor: ACTION TRAILERS Telephone: (519) 245-8802 Fax: (519) 245-7506
Equipment Description *
Equipment is: *

New Used
If Used, how old?
Equipment Cost (net tax) *
Term Requested *
Attach Quote

Upload a File

Cancel of
Quote Attached? *

Yes No

STEP 2: BUSINESS INFORMATION
Type of Business (check one) *

Corporation Sole-Proprietor Partnership Non-Profit Organization
Full Legal Name *
Operating Name:
Business Industry Type *
Years in Business *
Website

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Contact Name *
Phone Number *

- Area Code Phone Number
Fax Number

- Area Code Phone Number
E-mail *
Estimated Annual Sales *
Estimated Annual Profit *
# of F/T Employees *
Install Address/Location
if different from above address
Insurance Contact
Insurance Tel

- Area Code Phone Number
The following information is required for incorporated applicants in business for fewer than 2 years (or have less than 5 employees) and for all proprietorships regardless of years in business, and is requested for the sole and exclusive purpose of obtaining a credit check. By signing below, the Principal(s) consent to the obtaining, verification and disclosure by RMS Financial Solutions of credit and personal information for the purposes of the extension of credit from any credit bureau or credit agency.

STEP 3: PRINCIPAL INFORMATION #1
Full Name *
as written on driver's license
Last Name *
as written on driver's license
Business Title
Date of Birth *

Month Day Year
SIN *
E-mail *
Phone Number *

- Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Address *

Own Rent
Mortgage Payment *
Value of Home *
Mortgage Balance *
Years at Address *

STEP 3b (IF APPLICABLE): PRINCIPAL INFORMATION #2
Full Name
as written on driver's license
Last Name
as written on driver's license
Business Title
Date of Birth

Month Day Year
SIN
E-mail
Phone Number

- Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Address

Own Rent
Mortgage Payment
Value of Home
Mortgage Balance
Years at Address

STEP 4: SUBMIT APPLICATION
IMPORTANT INFORMATION ABOUT ESTABLISHING A RELATIONSHIP WITH 2563965 Ontario Inc. DBA RMS Financial Solutions

The undersigned certifies this above information to be true and correct. RMS relies on the information provided to determine whether or not to approve this credit application and the terms of any credit granted. Failure to provide true and accurate information is a fraud by misrepresentation. Such misrepresentation, if later discovered, is a material breach of the lease and will result in termination of the lease as well as personal liability to pay the full amount owing under the lease. It may also result in criminal liability. The undersigned hereby authorizes RMS to conduct any financial and credit investigations it deems necessary for the purposes of approving, maintaining or enforcing this lease (or any subsequent judgment against the undersigned). RMS may obtain or share any credit information about the undersigned with or from any other credit grantor or credit reporting agency and this shall be consent to any third party to provide information to RMS.
PRINCIPAL SIGNATURE: To confirm your consent we require your authorized signature. You sign this application by entering your name in the space provided below as it appearson the application and checking the box next to your signature. Each Principal must personally sign the application in this manner.
PRINCIPAL SIGNATURE #1 *
Terms & Conditions *

By checking this box, you acknowledge that this is in fact your electronic signature and you accept the terms and conditions above
PRINCIPAL SIGNATURE #2
Terms & Conditions

By checking this box, you acknowledge that this is in fact your electronic signature and you accept the terms and conditions above
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