EQUILEASE CORPORATE CREDIT APPLICATION All fields with a * are mandatory All applications are subject to credit approval. *Have you any prior leases with Equilease?   Yes         No If so, under what name were the leases completed?
Part 1: EQUIPMENT TO BE LEASED
*General Category of Equipment: ie.Electronics, Furniture, etc.	New         Used
*Pre-Tax Cost: $
*Equipment Vendor:
Part 2: COMPANY HISTORY
*Full Legal Name:
*Operating Name:
*Phone Number and Ext:	FAX:
If Incorporated... * Year of Incorporation:
* In business under current ownership since (YYYY/MM): /
Email:
Website:
*Contact Name:
Contact Cell:	Industry:
Number of Employees:
*Address:
*City:
* Province:	Select One BC AB SK MB ON QC NB NS PE NF YT NWT Nunavut *Postal Code:
Business is a Proprietorship or Partnership
Bypass the rest of the form and have a Broker contact me