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Step
1
of
4
25%
Business Information
Business Legal Name
(Required)
DBA – Doing Business As
Legal Entity Type
(Required)
-
Corporation
Partnership
Sole Proprietor
Business Number
(Required)
Business Start Date
(Required)
MM slash DD slash YYYY
Industry
(Required)
-
Advertising
Agriculture
Apparel
Auto Repair
Auto Sales
Banking
Biotechnology
Business Services
Chiropractor
Church
Cleaning / Janitorial
Construction
Consulting
Convenience Store
Dental
E-Commerce
Education
Energy
Engineering
Entertainment
Finance
Gas Station
Government Contractor
Grocery
Home Healthcare
Hotel
HVAC
Insurance
Jewelry
Lawyer
Manufacturing
Medical
Nail Salon
Not For Profit
Optometrist
Other
Painting
Plumbing
Real Estate
Recreation
Restaurant and Bar
Retail
Salon
Service
Shipping
Staffing
Technology
Telecommunications
Transportation and Trucking
Veterinary
Wholesale / Distributor
Province of Incorporation
(Required)
-
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Business Phone Number
(Required)
Fax
Email
(Required)
Website
Business Address
(Required)
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Annual Business Revenue
(Required)
Please enter a number greater than or equal to
0
.
Amount Requested
(Required)
-
$5,000 - $10,000
$10,000 - $20,000
$20,000 - $50,000
$50,000 - $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000+
Use of Proceeds
(Required)
-
Business Working Capital
Expansion
Hire Staff
Inventory
New Location
Other
Payroll
Product Development
Purchase Equipment
Remodel
Training
Personal Information
Primary Owner
(Required)
First
Last
Date of Birth
(Required)
MM slash DD slash YYYY
SIN (Social Insurance Number)
(Required)
% Ownership
(Required)
Please enter a number from
1
to
100
.
Home Address
(Required)
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Cell Phone
(Required)
Email
(Required)
Personal Information - Secondary Owner
Secondary Owner
First
Last
Date of Birth
MM slash DD slash YYYY
SIN (Social Insurance Number)
% Ownership
Please enter a number from
1
to
100
.
Home Address
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Cell Phone
Email
Additional Business Information
Estimated Credit Score
(Required)
-
400 - 500
500 - 600
600 - 700
700 - 850
Outstanding Loan
(Required)
-
Yes
No
Balance ($)
(Required)
Note:
Once you click
Submit
, your application will be finalized for e-signature. If you need to update any information, use the
Previous
button.
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