There are 4 leasing companies who are TPX Network Members, and who can
do a great job of taking care of your equipment financing needs.

It will take about 5 minutes per 100 companies to broadcast this email.

1.   Personal Information. Please fill out all fields completely.
Your Full Name
Title
E-mail address
 
2.   Company Information.
Your Company
Company Type is:
Address
Second Address Line
City
State/Province
Zip/Postal Code
Country
(Enter first letter)
Click One: Corporation   Partnership
Proprietorship   Not-For-Profit
Limited Liability
Years in Business
EIN/SSN
Sales Volume - Last Year
Sales Volume - This Year
Number of Employees
State of Incorporation
Telephone
(no dashes, periods or spaces)
Fax
(no dashes, periods or spaces)
Principal
Title
Home Address
Second Address Line
(not required)
City
State/Province
Zip/Postal Code
Telephone
Social Security Number
 
3.   Bank References - Provide 2.
Bank Name
Address
City
State/Province
Zip/Postal Code
Telephone
Account Number
Account Officer
 
Bank Name
Address
City
State/Province
Zip/Postal Code
Telephone
Account Number
Account Officer
 
4.   Trade References - List 3 Largest Creditors.
Company Name
Contact
City
State/Province
Telephone
 
Company Name
Contact
City
State/Province
Telephone
 
Company Name
Contact
City
State/Province
Telephone
 
5.   Equipment Information.
Manufacturer Model No. Year Price Accessories
Location
State
Delivery Date - (MM/DD/YY)
Supplier
Contact
City
State
Phone
 
6.   Other Information.
Response Required by Date (MM/DD/YY)
Response Method Desired (select one)
Your Message - please tell us more about the type of lease you want, yourself,
your company, and the equipment you want to buy:

 
7.   Release.
Dear Credit Reporting Bureaus, and Bank and Trade References:

By sending this email, I authorize and request you to release any information concerning my personal or company credit standing.