McDougall Energy

Personal Credit Application (Home)
 

Applicant's Information
Co-applicant's Information
 
Applicant’s Full Legal Name (hereinafter known as applicant):

Title: First Name:
Middle Initial: Last Name:
Email:
Date of Birth: S.I.N.:
  (mm/dd/yyyy)    
Co-applicant’s Full Legal Name:

Title: First Name:
Middle Initial: Last Name:
Email:
Date of Birth: S.I.N.:
  (mm/dd/yyyy)    
   
Principal Residence
 
Principal
Residence:
Address 1: Address 2: City: Prov: Postal
Code:
 
  Home Phone: - Work Phone: - Cell Phone: -  
  Years at current address:  
 
           
Own: Mortgage provider: City:
Rent: Landlord's name: Phone: -
           
 

Delivery Address: Same as above:  

  Address 1: Address 2: City:
  (if different from address above)
  Prov.:   Postal Code:
Previous
Address:
Address 1: Address 2: City:
  (if less than three years at current address)
  Prov.:   Postal Code:
Applicant's Employer
Co-applicant's Employer
 
 
Present
Employer:
Position:
Phone: -
  How long there?
Previous Employer:
  (if less than three years at current job)
  How long there?
 
Present
Employer:
Position:
Phone: -
  How long there?
Previous Employer:
  (if less than three years at current job)
  How long there?
More Information
 
Your Current Financial Institution: Branch:
Account statements are issued by e-mail on a monthly basis. Please ensure you have provided an active e-mail address on this application.
Submit Your Application
 
BEFORE SUBMITTING ANY INFORMATION TO US PLEASE READ, UNDERSTAND AND AGREE TO THE FOLLOWING TERMS AND CONDITIONS

The Applicant certifies that the above information is true and correct. By submitting this application electronically, the Applicant authorizes McDougall Energy Inc. or the equipment financing entity Community First Credit Union Limited (CFCU) to conduct credit history checks for the purposes of credit approval.

For MEI only: The Applicant further agrees that this authorization is ongoing and to be used by McDougall Energy Inc. only when reasonably necessary for the purposes of monitoring the Applicant’s account and/or for debt collection. The Applicant further authorizes McDougall Energy Inc. or its agent to contact banking references. McDougall Energy Inc. collects credit information for the purpose of credit approval, account monitoring and debt collection only. We do not distribute, sell or disclose any customer information without consent or unless required to do so by law. Our files are kept secure. Our privacy policy is available upon request.

By submitting this application electronically, the Applicant agrees to keep their account current and in good standing. Interest in the amount of 2% per month shall be charged for all accounts past due. The Applicant further agrees that should collection proceedings or legal action be necessary to collect on the Applicant’s account, the Applicant agrees to be responsible for all costs incurred by McDougall Energy Inc. or their authorized agent, to collect payment.


I HAVE READ AND AGREED TO THE TERMS AND CONDITIONS  
 
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