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Name: *

Address: *

City: *

State: *

Postal Code: *

Phone: *

Office: *

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You, the undersigned, hereby declare that all the information provided herein is to the best of your knowledge true, complete and correct and you understand that it may be used to determine your credit worthiness. In order to assess your ability to meet your financial obligations, you authorize Me N' Ed's Franchising and its agents or assigns:

i) to request and obtain personal information about you on an ongoing basis from credit bureaus from information they previously collected about you in order to assess your credit history;
ii) to exchange your personal information on an ongoing basis with credit bureaus in order to protect you, ensure the completeness of the information and maintain the integrity of the credit granting system;
iii) to cooperate with local, provincial and national authorities in the investigation of unlawful or improper activities in order to protect you and us from fraudulent transactions; and
iv) to disclose your personal information where necessary to protect your interests, and ours.

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