Please complete Credit Application and fax to Leslie D.: 1-920-532-4634
Business Name _____________________________________ Phone_______________ Fax_______________
Address____________________________________ City____________________ State_______ Zip________
Business Structure: Proprietorship_____ Partnership_____ Corporation_____ (State)_____ Other_______
Length of time in Business: ______________ E-mail address ______________________________________
Principals Name__________________________________________ Soc. Sec. No.______________________
Home Address______________________________ Home Phone___________________ %Ownership______
Principals Name________________________________________ Soc. Sec. No.________________________
Home Address______________________________ Home Phone___________________ %Ownership______
Primary Bank_______________________________ Phone__________________ Contact________________
Equipment Description____________________________ Cost__________________ Desired Term________
I hereby authorize Advantage Leasing Corporation or any credit bureau or other Investigative agency employed by Advantage Leasing Corporation to investigate the References herein listed or statements or other data obtained from me or from any other person pertaining to my credit and financial responsibility.
X______________________________________________ Signature/Title ______________ Date
www.advantageleasing.com
Toll: 888-608-4633
Phone: 920-532-4633
Fax 920-532-4634
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