CUSTOMER INFORMATION REQUIRED TO PREPARE A LEASE QUOTE

Contact Person:
 *Required field
Title of Contact:
Company Name:
 *Required field
Street Address:
City:
 *Required field
State:
Zip:
Phone:
 *Required field
Fax:
E-mail:
 *Required field
 
TYPE OF LEASE STRUCTURE (CHECK ONE OR MULTIPLE REQUESTS)*Required field
Capital Lease
True Lease
Operating Lease		 Municipal Lease
Other
 
LEASE TERM (CHECK ONE OR MULTIPLE REQUESTS) *Required field
24 Months
36 Months
48 Months
60 Months		 72 Months
84 Months
Other
 
EQUIPMENT DESCRIPTION & MODEL # *Required field
 
EQUIPMENT COST (APPROXIMATELY) *Required field

BUYOUT / PURCHASE OPTION AT THE END OF THE LEASE TERM *Required field

$1.00 (One-Dollar)
Percent of the Equipment Cost (eg. 10% / 15% / 20%)
FMV (Fair Market Value)
Other
   
Comments:
   
______________________________________________________________

ARIZONA SALES OFFICE
3029 Dollar Mark Way, Suite C
Prescott, AZ 86305
(928) 777-7003 * Fax (928) 777-9083
 		CORPORATE OFFICE
1907 E. Wayzata Blvd., Suite 180
Wayzata, MN 55391
(952) 831-4490 * Fax (952) 831-4201

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