APPLICATION

Tell us about your business


{{form.errors.company_name}}
{{form.errors.business_type}} You must have a verifiable business.
{{form.errors.business_structure}}
{{form.errors.officer_name}} Please list the names of the Director, Officer or managers along with their title in the space above.
{{form.errors.years_in_business}} Please enter the number of years your company has been in business. A value from 0 to 50
{{form.errors.date_business_established}}

Who will be the Contact person at your company ? *
(This can be any person in charge of coordinating the lease and delivery or the copier.)

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{{form.errors.contact_person_lastname}}
{{form.errors.contact_person_title}}
{{form.errors.contact_person_email}}
{{form.errors.contact_person_phone_number}}
{{form.errors.contact_person_federal_id}}
{{form.errors.company_website}}

Equipment Address *

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{{form.errors.equipment_address.line2}}
{{form.errors.equipment_address.city}}
{{form.errors.equipment_address.state}}
{{form.errors.equipment_address.zip_code}}

Business Address *

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{{form.errors.business_address.line2}}
{{form.errors.business_address.city}}
{{form.errors.business_address.state}}
{{form.errors.business_address.zip_code}}
There were incomplete/missing fields.

Guarantor's Details


NOTE: This is required for businesses established within the last 3 years.


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{{form.errors.guarantor_lastname}}
{{form.errors.guarantor_title}}
{{form.errors.guarantor_ownership}}
{{form.errors.guarantor_phone_number}}
{{form.errors.guarantor_email}}

Guarantor's Address *

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{{form.errors.guarantor_address.line2}}
{{form.errors.guarantor_address.city}}
{{form.errors.guarantor_address.state}}
{{form.errors.guarantor_address.zip_code}}
{{form.errors.guarantor_ssn}}
{{form.errors.guarantor_date_of_birth}}

You're on your way to an approval!

Please give us permission to process the information you submitted.

Please draw your signature to Acknowledge the terms of this application *


BANK & TRADE DISCLOSURE STATEMENT The undersigned authorizes full disclosure of information pertaining to the business credit of the undersigned applicant in processing a lease financing application for which same has applied. To allow for easy processing, lessee gives its consent to have any such information given by fax, email or any other common means as the institution may dictate. This request applies fully to Flat Rate Copiers LLC., its affiliates and or assigns thereto.


   

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