Barry Jay's & Rainbow Marine Boat Financing Pre-Approval Form

1. Boat Financing Pre-Approval Form Want your dream boat but need some financing? Please fill out the Pre-Approval form below and one of our Financing specialists will get in touch with you right away. Have questions before applying for approval? Click here to contact us today. Product Inquiry Name * First Middle Last Email * SIN (optional) Birthday * Status * Married, Single, etc. Phone * Present Address * City * Province * Postal * Country * How Long? * Previous Address 1 * address, city, province, postal code Canada How Long at Previous Address 1 Previous Address 2 address, city, province, postal code How Long at Previous Address 2 Buyer's Employment Information * Employer, Address, Position, Income, Phone How Long at Employer? * Other Income

2. Company, Address, Position, Income, Phone How Long at Other Income? Previous Employer (if less than 2 years) * Employer, Address, Position, Income, Phone How Long at Previous Employer? Primary Bank * Mortgage Company/Landlord Rent or Own? * Rent Own • • Present Value * Primary Bank Balance Owing * Primary Bank Monthly Payment * Primary Bank Bank/Creditor 1 Bank/Creditor 1 Type Bank/Creditor 1 Present Value Bank/Creditor 1 Original Amount Bank/Creditor 1 Balance Bank/Creditor 1 Monthly Payment Bank/Creditor 1 Bank/Creditor 2 Bank/Creditor 2 Type Bank/Creditor 2 Present Value Bank/Creditor 2 Original Amount Bank/Creditor 2

3. Balance Bank/Creditor 2 Monthly Payment Bank/Creditor 2 Bank/Creditor 3 Bank/Creditor 3 Type Bank/Creditor 3 Present Value Bank/Creditor 3 Original Amount Bank/Creditor 3 Balance Bank/Creditor 3 Payment Bank/Creditor 3 Have you had an asset repossessed? * Yes No • • Have you declared bankruptcy in the last 7 years? * Yes No • • Have you been sick or injured in the last 7 years? * yes No • • Terms and Conditions * Accepted Terms and Conditions • We will protect your personal and financial information, and it is used only by (and disclosed to) the financial institution or chartered bank and only to enhance products, services and our marketing to you, and to secure credit and to support and improve your total customer experience. Please note that by submitting personal information to us, you consent to the use as described above, and in our Privacy Policy.