The Leasing Group Contact Request
Submission of this form will start the lease financing approval process.
You will be contacted, within your indicated time constraints, by us for further feedback.
The Name of the Lesee
Address
City,
State
Zip
Contact Name:
Email:
Contact Phone:
Area
(
)
Number
Ext.
Contact Fax:
Area
(
)
Number
Ext.
Business Type:
Select
Corporation
Partnership
Sole Proprietorship
Limited Liability Corporation
Years In Business:
Select
Less Than 2 years
Between 2 And 5 years
More Than 5 Years
General Business Area:
Select
Machine Tools
Materials Handling
Manufacturing
Hazardous Waste Handling
Industrial Ovens
Painting Equipment
RailRoad
Robotics
Retail
Medical
Communications
Transportation
Other
Last Year's Gross Revenue:
Select
Start-up
$0 To $1M
$1M To $2M
$2M To $5M
$5M To $10M
$10M To $20M
Over $20M
Your Financial Statements:
Select
Audited
Reviewed
Unaudited
Amount of Funds Sought:
Select
$ 10,000 To $ 75,000
$ 75,000 To $200,000
$200,000 To $1,000,000
$1,000,000 To $5,000,000
Over $ 5,000,000
How Do You Wish To Be Contacted?
Select
E-Mail
Telephone
Fax
How Soon Do You Need Us To Contact You?
Select
Emergency, contact me immediately!
One Week
Thirty Days
Within The Quarter
Just Planing
Request Contact ||
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