Ocean
Machinery can process your lease application form in as little as ONE-HOUR from
the time we receive it.
Please
complete our on-line Lease Application Form and hit the Submit
button.
All
Fields marked * are
required
All
information supplied is kept strictly confidential.
Vendor
Information
Vendor
Name:*
Contact
Name:*
Phone
#:*
Fax
#:*
Street:*
City:*
State:*
Zip:*
Payment
Plan
Term
in Months:*
Type of Lease:*
Equipment Cost:*
Equipment
to be leased (Attach separate list if necessary)
Machinery
Description:
(include the make, model & serial #'s and any attachments)*
Lessee
(Legal name or entity, if a corporation, use EXACT registered corp.
name.)
Company:*
DBA:
Billing
Address:*
City:*
State:*
Zip:*
Phone:*
Fax:*
Contact
Person:*
Title:*
Email:*
Nature
of Bus:*
Type
of Business:*
Years
in Bus.:*
Personal
information on officers, Partners or guarantors
Name:*
Title:*
%
Ownership:*
Soc
Sec #:*
Home
Address:*
City:*
Zip:*
State:*
Phone:*
Name:
Title:
%
Ownership:
Soc
Sec #:
Home
Address:
City:
Zip:
State:
Phone:
Trade
references (3 Required)
Name
of supplier:*
City
/ State:*
Phone
# :*
Contact
Person:*
Name
of supplier:*
City
/ State:*
Phone:*
Contact
Person:*
Name
of supplier:*
City
/ State:*
Phone:*
Contact
Person:*
Company
bank references
Bank/Branch:*
Account
#:*
Bank
Phone #:*
Contact
Person:*
Loan
Account #:*
Please
note that by
providing the above information, and submitting this form, I/we, the applicant(s), authorize you to whom
this application is made, or your agents, to investigate my/our financial
responsibility and creditworthiness and we agree to supply all financial
statements, tax returns, etc. as might be necessary.
Address 6720 NW 15th Way, Fort Lauderdale FL 33309 USA : Toll Free (800) 286 3624 : Tel (954) 956 3131 : Fax (954) 956 3199
