Blue Water Leasing
Expanding your business horizons!
LEASE A
PPLICANT BUSINESS INFORMATION (Its Free!)
Company Legal Name:
DBA (If applicable)
Company Address:
Telephone Number:
Fax Number:
EMail Address:
City, State, Zip:
,
Date of Incorporation:
Federal Tax I.D. #:
Business Type:
Sole Owner
Partnership
Corporation
Other
Years in Business:
VENDOR & EQUIPMENT INFORMATION
Vendor Name:
Contact:
Phone:
Fax:
Address:
City, State, Zip
,
Equipment Description:
Is the Equipment
New or Used?
New Equipment
Used Equipment
Cost (without Tax):
Monthly Payment:
Terms Requested:
2 Years
3 Years
4 Years
5 Years
Special
Location of Equipment:
By submitting this application, I, authorize
Blue Water Capital Leasing, Inc.
and it's agents or assigns to investigate my/our credit worthiness, as you deem necessary. I/We hereby authorize my/our references and/or any Credit Bureaus to release my/our information. I/We warrant that the information submitted herein is true and correct.
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