Full Legal Name (required)
Operating Name (required)
Phone Number (required)
Email Address (required)
Province (required)ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Postal Code (required)
Type of Business (required)
Number of Years in Business (required)
What Provinces Can You do Business In? (required)AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
First Name (required)
Last Name (required)
Date of Birth (required)
Email Address (required)
Shareholder(s) in Aggregate Controlling 51% or More (required)
Primary Manufacturer Brands Sold (required)
Estimated Annual Sales Volume (required)
Average Transaction Size (required)
Consumer DirectBrokerDistributorDoor to door sales
ReferralsLocal AdvertisingTrade ShowsSocial Media Ads
POWER SPORTSHOME IMPROVEMENTSMEDICAL
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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.
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 firstname.lastname@example.org. 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.
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
Thank you for applying to Clear Financial Corporation. A representative will be in touch with you right away to guide you through our partner process.