Blue Chip Leasing

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Providing equipment financing and leasing solutions for businesses across Canada.

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Vendor Partners

» Equipment Leased
» Frequently Asked Questions
» Request A Quote
» Submitting A Customer Credit Application

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Download A Credit Application

Broker Partner Program

Equipment Financing

Credit Application

You may apply online using the form below, or, if you prefer, you can download a printable version.

Credit Application

( * indicates a required field)

Full Legal Company Name *
Operating Name *
Street Address or PO Box *
City *
Province *
Postal Code *
Work Phone *
Mobile Phone
Fax Number
Email Address
Website
Preferred Correspondence *
First Name *
Last Name *
Job Title *
Business Type *

Incorporation Date*

Please list your assets and their value.*

Asset #1:   Value:
Asset #2:   Value:
Asset #3:   Value:

Please provide contact details of equipment vendor or broker, if applicable.

Supplier
Contact Name
Work Phone
Email Address

How did you hear about us? (Choose all that apply)

	Blue Chip Account Manager/Employee		Email
	Newspaper		Advertisement
	Online Search		Vendor
	Blue Chip Customer		Broker
	Friend or Family Member		Other

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1-800-220-1751

Vendor Partner Program
Broker Partner Program
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Blue Chip Leasing Atlantic
- Serving Atlantic Canada
- Our Atlantic Team
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Contact Us
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