Call Us Toll Free:

(800) 559-1736 (West Coast Office)

(800) 559-6812 (East Coast Office)

Lease Form

Lease Option

Customer Information Form

Paul Casinelli
Phone 888-233-4671
Fax 800-248-4348

pcasinelli@leaseoptions.com

APPLICATION INFORMATION

Personal Information of Officers/Partners/Owners

Banking References

Vendor Information

Equipment Information


STATEMENT

Customer authorizes LEASE OPTIONS or its assigns to request, verify, and review data or information about the customer, its officers, partners, owners, and guarantors including reports from agencies and information from references. LEASE OPTIONS is authorized to give credit information about customer to others. All information provided herein is correct and complete. If business credit is denied, customer has the right to a written statement of the specific reasons for the denial. To obtain this statement, please contact LEASE OPTIONS at the phone number shown above within 60 days of a denial. A fax or photocopy of this authorization shall be valid as the original.