Referral Form

First Name *

Last Name

Phone

Email *

Date of birth

Street No. *

Street Name *

Unit #

Postal code *

Job Title *

Employer Name *

Monthly Gross Income *

Employer Street Address *

Employer Postal Code *

Employer City *

Employer Phone Number *

SIN

Signature *

Clear

Draw in your signature here :)

I consent to receive transactional messages related to my account, orders, or services I have requested from Approval Express Canada. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency varies. Message & data rates may apply. Text HELP for assistance. You can reply STOP to unsubscribe at any time

I Consent to Receive Occasional Marketing Communication from Approval Express Canada

CONSENT TO USE OF PERSONAL INFORMATION 1. I certify that all information provided by me in any credit application or other documentation given in connection with the transaction is true, accurate and complete in all respects. I AUTHORIZE AND CONSENT TO YOUR USES OF MY PERSONAL INFORMATION FOR THE PURPOSES OF INITIATING, PROCESSING OR EXECUTING ANY TRANSACTION REQUESTED BY ME; ALLOWING SERVICE PARTNERS TO PROVIDE ME WITH A REQUEST FOR AN INSURANCE COST ESTIMATE AND FOR ANY REASONABLE PURPOSE RELATED TO THE FOREGOING PURPOSES. I consent to the Dealer and Service Partner using my Personal Information: (1) for the purposes for meeting legal, regulatory, audit, processing and security purposes (including fraud protection); (2) as described in their respective privacy notices, if any; and (3) as permitted or required by Canadian or applicable foreign law. You may use aggregate or otherwise non-identifying information for any purpose. I acknowledge that the uses of my Personal Information is subject to the privacy notice is accessible at

www.dealertrack.ca

I AUTHORIZE THE DEALERSHIP TO CONDUCT CREDIT INVESTIGATIONS CONCERNING ME FROM TIME TO TIME IN CONNECTION WITH A TRANSACTION. I CONSENT TO YOU EXCHANGING MY PERSONAL INFORMATION WITH ANY CREDIT REPORTING AGENCY, CREDIT BUREAU, OR SERVICE PARTNER IN CONNECTION WITH A TRANSACTION AND CONSENT TO YOU DISCLOSING MY PERSONAL INFORMATION TO EACH OTHER. I authorize the dealer to act on my behalf to acquire financing for the unit that I have agreed to. I approve the investigation of my credit worthiness and the submission of credit applications with my personal information to one of more financial institutions if it is required to obtain the requested financing. I understand that the credit approval, rate and conditions are that of the banks and are not created nor can be changed by the staff of Dealership.