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Please complete the information in the following application to begin the process of becoming a Questor Financial Corp. Vendor. If you wish to retain a hardcopy for your records, you may do so by clicking the print form button prior to submitting this form for approval.
       
 • = Required Fields  • Questor Financial Corp Sales Agent : 

Vendor Information

 • Legal Name :  Operating as : 
 • Address : 
 • City :   • Province/State : 
* If your city does not appear in the menu, please select "Other City" (1st option) and enter it. We will add it to our menu. Thank you.
 • Postal/Zip Code :   • Country : 
 • Contact First Name :   • Contact Last Name : 
 • Phone/Ext. :   /  Fax : 
 • Bus. Type :   • Email : 
Trading Area :   • Website : 
#Employees :   • # Salespeople : 
GST/HST# :   • Incorporation / Start-up Date :   /   /   (mm/dd/yy)
PST# :  Preferred Language : 
Referred Customer Name :  Please fill this field if you were referred to us by a customer.
Comments : 

characters left: 
 

Equipment Information

 • Equipment Type : 
Current Leasing Relationships : 
Monthly Equipment Sales :   $ Cdn
Average Sale Size :   $ Cdn
Manufacturers Represented : 
       

Consent

 
Would you like to receive a periodic email communications relevant to your business? **  Yes  No
 

** I confirm subscription to occasional marketing or industry news electronically via Q's News, with the understanding that I may unsubscribe from marketing communications at any time, and will continue to receive email regarding my relevant transactions.

 

Confirmation

 
Applicant agrees that the act of inserting your name in the space below constitutes your valid electronic signature and evidences your agreement with the same effect as your ink-signed signature. Furthermore the Applicant confirms that the information provided in respect to this application is TRUE and COMPLETE and authorizes QUESTOR FINANCIAL to reply and use this information in order to confirm your identity and evaluate your credit worthiness in relation to the financing contract being entered into. In particular, you agree that QUESTOR FINANCIAL, its Affiliates, and any third parties acting on behalf of QUESTOR FINANCIAL (hereinafter collectively "QUESTOR"), may obtain credit information from any credit reporting agency, credit bureau or credit grantor, and may hold, use, exchange and disclose such information for the purposes identified above. If the application is approved, the undersigned authorizes QUESTOR to collect, hold, use, exchange and disclose your personal information as required, in order to administer your contract, determine your insurance eligibility, and secure the asset being financed. You also authorize QUESTOR to use your personal information for internal statistical analysis purposes. Finally, the Applicant consents to electronic communications from QUESTOR for the purpose of facilitating any and all matters as stipulated above. We may keep a file containing some or all of your personal information at 675 Cochrane Drive, East Tower, 6th Floor, Markham, Ontario L3R 0B8 from time to time. You have a general right to access and rectify the personal information in this file by making a written request to the above address attention: “Privacy Officer, Questor Financial Corp"
Name of Applicant : 
 
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