Dealer Application

Step 1 of 3

33%

Contact Information

Business Legal Name(Required)

Operating Name(Required)

Email(Required)

Address(Required)

Street Address City Province Postal Code

Website(Required)

Company Profile

How long has the company been under the current ownership?(Required)

What year was your company established(Required)

Number of owners / directors(Required)

Names of owners / directors(Required)

Annual sales volume ($)(Required)

Estimated annual financing volume ($)(Required)

Average transaction size ($)(Required)

Who are your current financing providers?(Required)

Who are your current financing providers?
Estimated volume on each program

Standard (%)(Required)

Rate Buy-Downs (%)(Required)

Short Term Deferrals (3/6 Months) (%)(Required)

Long Term Deferrals (9/12 Months) (%)(Required)

0% Equal Payments (%)(Required)

Number of employees(Required)

Number of sales reps(Required)

Are your sales reps employed or sub-contractors(Required)

Employed

Sub-Contractors

Mixed

Are your installers employed or sub-contractors(Required)

Employed

Sub-Contractors

Mixed

What type of products do you sell(Required)

Do you offer your customers extended warranties (ie. 10 year parts and labour)(Required)

Yes

If yes, who is the warranty provider(Required)

Does your company do buyouts/equipment returns on rented products for customers(Required)

Yes

Does your company offer customers energy rebates or government grants(Required)

Yes

Does your company conduct Third Party Verification calls to confirm sale and product details(Required)

Yes

Third Party Verification(Required)

Pre-Install

Post-Install

How did you hear about VaultPay?(Required)

What’s most important to you in choosing your financing provider?(Required)

Consent (Must be an Owner)

Name(Required)

First Last

Title(Required)

Date of Birth(Required)

Mobile Phone(Required)

Business Email(Required)

Home Address(Required)

Street Address City Province Postal Code

Consent(Required)

The undersigned acknowledges and agrees, in connection with VaultPay™ making a determination in respect of this application, that (a) all information provided in this application is for the purpose of securing credit and warrants that it is true, correct and complete, (b) a credit/consumer report and other credit information containing personal information may be requested from a credit/consumer reporting agency and financial institution, (c) VaultPay™ is authorized to exchange with any credit/consumer reporting agency and financial institution credit information covering this application for the purposes of a potential business relationship with VaultPay™.(Required)

Ready To Become A Partner? Here's How.

Dealer Application

Contact Information

Company Profile

Consent (Must be an Owner)

Ready To Become
A Partner?
Here's How.