CLEAR Broker Application

1. Company Information

Contacts

Address (required)

Other

2. Principal / Owner Information

Address (required)

Ownership

Shareholder(s) in Aggregate Controlling 51% or More (required)

3. Product & Sales Information

Please tell us about your Merchants:

Primary Manufacturer Brands Sold (required)

Estimated Annual Sales Volume (required)

Average Transaction Size (required)

Sales Approach of Merchant Network (check all that apply)

Consumer DirectBrokerDistributorDoor to door sales

Lead Generation Methods of Merchant/Dealer Network (Check all that apply)

ReferralsLocal AdvertisingTrade ShowsSocial Media Ads

Are you currently with a Finance Provider?

YesNo

Products for Financing Programs

POWER SPORTSHOME IMPROVEMENTSMEDICAL

Reason for interest with CLEAR

No current financing solutionLooking for secondaryUnhappy with current solution

4. Consent

Please Check

By submitting this application, you acknowledge and agree that Clear Financial Corporation is authorized to obtain your credit report from one or more consumer credit reporting agencies (e.g. Equifax or TransUnion), to verify the information in your credit report with third parties as necessary, and to periodically update your credit information with credit reporting agencies. You are hereby notified that a consumer report containing credit and/or personal information may be referred to in connection with this application. You consent to accept, receive and use in electronic form any and all agreements, notices, disclosures and other documents or information in relation to this application that Clear Financial Corporation may deliver to you.


Privacy Statement

Please Check

By checking this box, you consent to receive commercial electronic messages from Clear Financial Corporation at your email address and telephone number(s) provided by you in this application or from time to time in connection with your account, including electronic communications that market or promote our programs, products, services, offers, events and surveys that may be of interest to you. You may withdraw this consent at any time. You may contact Clear Financial Corporation at 1455 Lakeshore Road, Suite 205 South, Burlington, Ontario L7S 2J1 or at info@clearfinancialcorp.com. You consent to accept, receive and use in electronic form any and all agreements, notices, disclosures and other documents or information in relation to this application that Clear Financial Corporation may deliver to you.

5. Acknowledgement

By executing below, the Principal in his or her personal capacity (“I”, “me”) and the company (“We”) certify that all the information contained in this Broker Application is true and complete.

I/We acknowledge and agree