Burnaby, B.C. V5J
5E6
Phone#
(604)412-0280
Fax#
(604)435-6757
NAME OF COMPANY:____________________________________________________________________
MAILING ADDRESS:_____________________________________________________________________
_____________________________ POSTAL CODE: ________________________
PHONE#:_____________________FAX#_____________________EMAIL___________________
PERSON RESPONSIBLE FOR APPROVING & PAYMENT OF ACCOUNT:____________________________________________________________________
NAME OF FINANCIAL INSTITUTION:___________________________________________
BRANCH:________________________PHONE#______________________________________
Name____________________Contact____________Phone#______________Fax#___________
Name____________________Contact____________Phone#______________Fax#___________
Name____________________Contact____________Phone#______________Fax#___________
The undersigned guarantors guarantee payments and interest owing by the applicant.
APPLICANT:___________________________________
GUARANTORS:_________________________________
Dated____________________day of______________________________2018