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Consumer credit request form

Request Consumer credit request

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Consumer credit request form

Last name *

First name *

Business name

Phone *

Fax

Email *

Province *

Packages *

Consumer credit report: $19,95

2C (Criminal Qc and Credit): $34,95

Other relevant information

To expedite your investigation request, please provide as much information as possible about the person whose information you are verifying.

* Only available with the electronic consent

Last name *

First name *

Phone *

Email *

Date of birth *

Address

Civic number*

Street *

City *

Postal Code *

Social insurance number (optional)

Additional information

Please provide any other relevant information to help Groupe Trak conduct the pre-lease verification.

Other relevant information

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Cardholder name *

Card number *

Expiration date *

Card security code (CSC) *

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Request

Consumer credit request form