Blue Water Leasing

Expanding your business horizons!

Home Benefits of Leasing IF YOU NEED ASSISTANCE CALL 1.888.480.8532 TOLL FREE,  NO FEE FOR APPLICATION REVIEW, WE WILL CONTACT YOU AFTER REVIEWING YOUR INFORMATION. Contact Us

 
 

LEASE QUICK QUOTE BUSINESS INFORMATION

You may wish to print this form and fax it to 1.703.584.7106

If you need assistance completing this form call toll free 1.888.480.8532

Company Legal Name:
DBA (If applicable)
Company Address:  
Phone Number:

Fax Number:

Email Address: Web:
City, State, Zip:  ,
Date of Incorporation: Credit: Exc, Good, Fair or Poor
Business Type: Sole Owner Partnership Corporation Other
BUSINESS BANK REFERENCES (May Be Required)
LOAN & TRADE REFERENCES (May be Required)
PERSONAL INFORMATION ON OFFICERS, PARTNERS OR GUARANTORS
Owner 1 Name: Title:
% Ownership: Tel:
Owner 2 Name: Title:
% Ownership:   Tel:

VENDOR & EQUIPMENT INFORMATION

Vendor Name:
Contact:  Email:
Phone: Fax:
Equipment Description:  
Is the Equipment
New or Used?
Cost (without Tax):
Terms Requested: 2 Years 3 Years 4 Years 5 Years Special

By submitting this application, I, authorize Blue Water Leasing, Inc. and it's agents or assigns to investigate my/our credit worthiness, as you deem necessary. I/We hereby authorize my/our references and/or any Credit Bureaus to release my/our information. I/We warrant that the information submitted herein is true and correct.

Name:

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