Online Financing - CAE Rive-Nord

1 Type of financing

2 Business Identification

3 Resource Person

4 Shareholding

5 Company Information

6 Financial Institution

7 Confirmation

Type of financing
Type of Financing:
- SR & ED Financing
Amount Requested:
Type of Financing:
- Purchase-order Financing
Amount Requested:
Growth Financing:
- Growth Financing
Amount Requested:

Business Identification
Name of Company:*
Website:
Head Office Address:*
Address City Postal Code
Business Location Address:
(if different from head office)

Address City Postal Code

Resource Person
Name:*
Title:*
Telephone:*
Cell Phone:
Email Address:*
Fax:

Shareholding
Name: Address: Title or relationship with company: % of voting shares: Gross annual salary:

Company Information
Description of business activities:*
NEQ (Quebec Entreprise Number):
Registration Number (CRA):
NAICS Code:
Is the company in arrears in any capacity toward the CRA or QRA (l’ARQ)?*
- Yes
- No
Date fiscal year ends:
Number of Employees:*
Type of Employment:
(Engineer, technician, accountant, etc.)
Hiring forecast during the year?*
- Yes
- No
If so, provide number:*
% of Sales in Quebec:
% of Sales in Canada:
Export %:
Clientele:
Main Suppliers:
Payment Terms:
Main clients:
Main Competitors:

Financial Institution
Name:
Address:
Address City Province Postal Code
Account Manager:
Phone:
Email Address:
Authorized Line of Credit:
Available Line of Credit:

Declaration
Confirmation*
I attest that all information provided in this document is correct and complete, and I understand that the CAE RIVE-NORD may use this information to review or maintain my financing-application file.
- Yes, I confirm.