Personal
Name:
Business Name:
Business Type:
Please Select One
Proprietorship
Partnership
Corporation
Business Age (years):
Social Insurance Number:
Date of Birth:
Citizenship:
Address:
City:
Province/State:
Country:
Postal/Zip:
Home
Phone:
Business Phone:
FAX:
CELL:
Email:
Price of Plane Desired:
Aircraft Listing Number:
Aircraft Type:
Please Select One
Single Engine
Multi Engine Land
Float Planes &
Amphibious
Classic Aircraft &
Warbirds
Rotorcraft
Corporate Jet
Amount
Required:
Please Select One
$25,000 to $50,000
$50,000 to $100,000
$100,000 to $200,000
$200,000 to $300,000
$300,000 to $500,000
$500,000 up
Name of Sales Agent:
Please Select One
Brian Lecompte
Jim Hannibal
Wayne Nyback
Donna Lecompte
I haven't spoken to
a Sales Agent
I am
interested in:
Bank Name:
Bank Branch Number:
Bank Address (street/city):
Bank Account Number:
Bank Phone Number:
Bank Contact Name:
Employers Name:
Current Annual Income:
Employers Phone:
Your Position/Title:
Time with Employer:
Previous Employer:
Previous Employer Phone:
Are you a Homeowner?
Yes, I own my own home
No, I currently am a
renter
Monthly Rent or Mortgage Payment:
Current Value of Home:
Mortgage Balance Owing:
Any
Additional Information you would like to add?
By Sending this Online Application I hereby
authorize the financial institution and it's underwriters to obtain credit reports or
other information as may be necessary in conjunction with the
establishment and maintenance of a Credit Account.
This is only an application and does not bind me
for financing. I understand I will be notified of the terms and
conditions and may or may not agree to accept financing.
