Canadian Credit Bureau and Telco Data Source Application
Company Legal Name:
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Company Address:
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Primary Contact Name:
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Phone Number:
*
-
Area Code
Phone Number
Primary Contact Email Address:
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example@example.com
Company's Legal Name
Address
Company URL:
*
Privacy Policy URL:
*
Approval will not be granted until your privacy policy includes the following wording: "You authorise your mobile carrier to disclose your mobile account details for the purpose of verifying your identity. Those details may include your name, address, and device details."
Terms & Conditions URL:
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Has the Company have any privacy related violations within the last 5 years before any federal or state court or agency?
*
Please Select
No
Yes
If Yes, please provide a summary:
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Should be Empty: