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I certify the above information to be true and correct. By clicking the submit button, i consent and authorize entities:: Prime Capital Group Inc Xpedite Leasing Inc and 941315 Alberta Inc., (collectively known Prime Capital Group) and its representatives and any potential credit grantor assignee, at any time to obtain on an on-going basis, verify, use, communicate with and disclose to third parties (including credit reporting agencies, credit exchanges, leasing brokers, on an on-going basis) any of my credit, financial, and personal information that Prime or its affiliates deem necessary to complete, service or enforce any lease, ancillary deed or transaction, including but not limited to assignments and securitizations.

I authorize to collect, hold, exchange and disclose your personal information as requested in order to administer your contract & determine your insurance eligibility as required or permitted by law. I also authorize to use your personal information for internal statistical analysis purposes.

If you would like to review your own personal information, correct or revise existing information, have any questions, concerns or comments regarding its application please fax 1-780-437-7268 (Attn: Privacy Office) or mail #215, 625 Parsons Road SW, Edmonton, AB T6X 0N9 Attn: Privacy Office.