1. Company Information



What provinces can you do business in?

2. Principal / Owner Information



3. Product & Sales Information

Please tell us about your Business:

Sales Approach (Check all that apply)

Lead Generation Methods (Check all that apply)

Relationship With:

Are you currently with a Finance Provider?

Products for Financing Programs

Reason for interest with CLEAR

4. Consent

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 Dealer Application is true and complete.

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