multi mix bio-gourt
tourbillon glacé de fruits

A good business partner to secure your business projects. Whether it’s for a new business or acquiring new equipment; we are always available to assess your application.

Protect your start up funds. You can immediately change productivity of your business without touching your savings.

Rented equipment is an investment. New equipment means production without delays and accrued profits. You can invest capital to increase the size of your business and earn profit on your capital.

Amount applicable to fiscal expenditures.

Flexible terms of 12/ 24/ 36/ 48 months.

Acquire immediately the latest in cutting edge technology in order to be more competitive.

Please complete the following credit application form, print it, sign it and fax it to us at (418) 683-0694.


735, avenue. Pruneau, local 100, Québec (Québec) Canada G1M 2J9
Phone 418.682.2210 - Fax 418.683.0694
Credit check
Legal name
Contact
Address
Phone Ext.
Fax
Sector of activity Since
Owner of the rented place
If not, please fill the following blanks.
yes no
Legal name
Address
Banking institution
Name
Ext.
Address
Contact Bank account


Phone Ext.
Source of rented equipment  
Company name
Sales representative fax Phone.
Equipment  
Qty. Description   Qty. Description  

  
Price

      

  
Price

     
Qty. Description   Qty. Description  

  
Price

      

  
Price

     
Qty. Description   Qty. Description  

  
Price

      

  
Price

     
Type of payment  
  months    monthly     quarterly    annual
Personnal information
Name
Date of birth
Address
S.I.N.
Phone
Information related to insurance
Insurance company
Broker name
Address
Phone Ext.
Fax
Policy number exp.
Providers
Name
Phone Ext.
Address
Name
Phone Ext.
Address
The Credit-Taker and / or the Guaranty confirms that the information above is truthful. Besides, he/they allows to ask and to exchange all information in order to conduct a survey on his/their solvency. .
Name of the Credit-Taker Name of the Guaranty Date
 

Please complete the following credit application form, print it, sign it and fax it to us at (418) 683-0694.