Application Form - SNAP FINANCIAL

Primary Contact

First Name (Primary Contact)*

Last Name (Primary Contact)*

Role (Primary Contact)*

Language Preference*

Email (Primary Contact)*

Phone (Primary Contact)*

Company Profile

Project Types*

Primary Province of Operation*

Additional Province(s)

Number of Employees*

Number of Sales Reps*

Total Annual Sales($)*

Brands Sold* +

Current Finance Provider +

Current Provider Issues

% of Business (Estimated)*

Commercial*

New Home
Constr*

Residential*

Service

Payment Type (Estimated)*

Cash/
Cheque(%)*

Credit Card
(%)*

Financed (%)*

Do you use a call centre to originate appointments for your business?*Yes
No

Do you use an outbound direct sales model (door-to-door) to originate appointments and sales for your business?*Yes
No

Is a Warranty attached to the equipment?*Yes
No

Please upload a clear and complete image of your certificate of insurance

Credit Bureau

First Name (Majority Owner)*

Last Name (Majority Owner)*

Role*

Language Preference*

Home Address*

City*

Country*

Province*

Postal Code*

Email (Majority Owner)*

Date of Birth*

Please upload a clear and complete image of the front of your driver’s license*

Year Company
Established*

Year Current
Ownership Began*

Please Note: Our policy is to pull your credit report only after initial screening of your applications has been reviewed and approved.

I acknowledge and agree, in connection with SNAP Home Finance Corp. making a determination in respect of this application, that (a) all information provided in this application is for the purpose of securing credit and warrants that it is true, correct and complete, (b) a credit/consumer report and other credit information containing personal information may be requested from a credit/consumer reporting agency and financial institution, (c) SNAP Home Finance Corp. is authorized to exchange with any credit/consumer reporting agency and financial institution, credit information covering this application for the purposes of a potential business relations with SNAP Home Finance Corp.

SNAP Financial Group collects name, address, email address, date of birth and driver’s license information, which will be used only for the purpose of processing this application. Information about you may also be obtained from credit reporting agencies during the application review process. Your information is shared only with third parties as required by law, and with SNAP’s subsidiary, RedBrick Financial Group, in order to review this application and make an approval decision.

Signature:

Please ensure your full signature is provided.

Sign

SNAP Home Finance Corp., should it accept this application, intends to provide access to its Finance program and technology to the above identified organization (hereinafter called the "DEALER"); The DEALER will be required to enter into a formal Dealer Agreement before access to the SNAP Home Finance Corp. finance program will be granted.

Application
Form

Primary Contact

Company Information

Company Profile

Credit Bureau

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