Leasing Application - Disclaimer:

If you choose to apply on-line, and if you are using a NETSCAPE or MICROSOFT® Browser,
your application will be taken over a secure server. We are using the best technology currently
available to secure the confidentiality of information exchanged over the Internet. However,
Medicard Finance Inc. and its subsidiaries and affiliates will not be responsible for any damages
you may incur in the event that a third party obtains access to confidential information not
withstanding this secured server.
If you are not using a NETSCAPE or MICROSOFT® Browser, Medicard Finance Inc. cannot
ensure the privacy and authenticity of any information or instructions you send to us or that
we send to you over the Internet. Medicard Finance Inc. and its subsidiaries and affiliates will
not be responsible for any damages you may incur if you communicate confidential information
to us over the Internet or if we communicate such information to you at your request.

Yes, I have read the disclaimer and wish to continue
No, I wish to apply by fax or mail