Burnaby, B.C. V5J
1E8
Phone#
(604)435-8235
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______________________________2008