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CREATE AN APPLICATION - CRLS - LINE OF CREDIT (PLC)

Retailer
Region
Lending Product
Lending Purpose *

Special Programs

Is this application for the purpose of installing at least one FortisBC eligible, natural gas product?
Legal First Name
Middle Initial
Legal Last Name
Previous Last Name
Co-borrower
Will the funds requested in the application be used for benefit of a 3rd party?
Are you a Canadian Resident?
Province
Date of Birth
As the Primary Applicant is your annual income greater than $20,000.00?
Gross Annual Income
Have you declared bankruptcy within the last 7 years?