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LEASE APPLICATION
Please complete all fields and click submit. A Ralion Financial representative will contact you.
NAME
COMPANY
TYPE OF COMPANY
Select One
Sole Proprietorship
Partnership
C-Corporation
S-Corporation
Professional Corporation
Limited Liability Company
Joint Venture
TYPE OF BUSINESS
Select One
Business and Professional Services
Finance,Insurance and Real Estate
Retailer
Contractors and Construction
Wholesaler
Transportation and Communications
Other Services
Manufacturers
Agriculture and Mining
Nonprofit
Other
ADDRESS
CITY
STATE
ZIP
TELEPHONE
FAX
EMAIL
EQUIPMENT MANUFACTURER / TYPE
EQUIPMENT COST
LEASE TERM
Select One
12 Months
24 Months
36 Months
48 Months
60 Months
72 Months
84 Months
LEASE TYPE
Select One
Finance Lease
Operating Lease
Sale/Leaseback
FMV Purchase
$1.00 Purchase Option
Fixed Purchase Option
COMMENTS