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City of Nelson Bike Loan Application

  1. Introduction

    The Participant hereby applies to Nelson Hydro for a loan of up to $8,000 for the purpose of purchasing a bicycle(s) to be repaid through On-Bill Financing and subject to the Terms and Conditions.

  2. Privacy Statement

    Use of Personal Information – Nelson Hydro is collecting your personal information in accordance with Section 26 of the Freedom of Information and Protection of Privacy Act. Nelson Hydro collects your information for the purpose of administering programs and services. If you have any questions, please contact the City of Nelson’s Privacy Head at 310 Ward Street, Nelson, BC V1L 4P1 or FOI@nelson.ca or 250-352-8234.

  3. SECTION A: PARTICIPANT INFORMATION

  4. SECTION B: PROPERTY INFORMATION

    Participant must be the registered owner of the property.

  5. Are you subscribed to Pre-Authorized Withdrawals?

    If no, you can sign up for auto-withdrawal after approval. This is a mandatory requirement for both loan payment and electrical consumption.

  6. SECTION C: LOAN REQUEST

    Please fill in the following:

  7. cost

  8. SECTION D: SURVEY INFORMATION

  9. LOAN AGREEMENT - TERMS & CONDITIONS

    *** PLEASE READ THE TERMS & CONDITIONS *** Upon approval, the EcoSave Coordinator will email you the Terms & Conditions to manually sign off. Questions? Please email ecosave@nelson.ca.

  10. ADMINISTRATIVE USE ONLY: DO NOT COMPLETE

  11. Date: _______________________________________________

  12. EcoSave Authorization ______________________

  13. Loan Agreement No. ______________________________

  14. Currently on Automatic Withdrawal:

  15. Date: __________________________________

  16. Yes___________ No ___________

  17. Nelson Hydro Billing Department Authorization: __________________________________________

  18. Notes: ____________________________________________________________________________________

  19. Leave This Blank:

  20. This field is not part of the form submission.