Dealer information:

EquipEASE Lease Co.
405-4900 Okanagan Ave.
Vernon, BC. V1T 8S1
email: info@equipease.ca
Contact: Kyle
Office: (844) 250-3273

APPLICANTS INFORMATION:

First name*

Last name*

Phone Number*

Email Address*

What are you purchasing*

Country*

Home Ownership Status*

Own (without mortgage)

Own (with mortgage)

Rent

Live with parents

Street Address.*

City*

Province*

Postal code*

Years at Current Residence*

What is your current employment status?*

(Full-Time, Part-Time or Self-Employed etc)

Current Yearly Salary?*

Name of Current Employer*

Company Phone Number*

Years Worked at Current Company?*

What city is your current employer located in?*

Birth Year

YYYY

Birth Month

Birth Day

Social Insurance Number*

Preferred method of contact*

Best Time to Contact

PRIVACY NOTICE

We won't share your information with any person or organization without your explicit consent.

You can view our privacy policy on our website for details.