Call Us Today: 1-800-770-6352
National Equipment Leasing
 
 
Apply for a Lease
This form is protected by Secured Socket Layer (SSL)

Before applying, contact us so we can better understand your company needs.
Individual owner guaranty's may or may not be needed. See FAQ's or Contact Us.

* = Required

*FOUND US WHERE:
FEDERAL TAX IDENTIFICATION:
  LEGAL BUSINESS NAME:
DOING BUSINESS AS:
*BILLING ADDRESS:
*BILLING CITY:
*STATE BUSINESS FORMED IN:
*BILLING ZIP CODE:
*DATE BUSINESS STARTED:
NUMBER OF YEARS UNDER CURRENT OWNERSHIP:
NUMBER OF FULL TIME EMPLOYEES:
NUMBER OF PART-TIME EMPLOYEES:
 
*CONTACT NAME:
*CONTACT DIRECT PHONE :
--
CONTACT CELL:
--
CONTACT FAX:
--
CONTACT EMAIL:
BEST TIME TO CALL:
 
*EQUIPMENT TO BE LEASE FINANCED (DESCRIBE):
NEW OR USED:
    if used, year built and condition:
*COST OF EQUIPMENT:
PURPOSE OF EQUIPMENT:
EQUIPMENT LOCATION:
  EXPECTED DELIVERY DATE
DESIRED LEASE-FINANCING STRUCTURE OR BUDGET
VENDOR NAME, CONTACT & PHONE#
*VENDOR EMAIL:
 
COMPANY PRIMARY BANK:
CONTACT & PHONE#:
MAIN CHECKING ACCT#:
To expedite your request, please submit the top page of your company bank statement showing balance information from 3 most recent months.
  LINE OF CREDIT OR OTHER LOANS, IF ANY:
  HIGH CREDIT AMOUNT FROM BANK IN DOLLARS:
  ACCOUNTANT CONTACT & PHONE#:
INSURANCE AGENT CONTACT & PHONE#
 
  AUTHORIZED SIGNING OFFICER OR OWNER:
  TITLE:
  PERCENTAGE OF OWNERSHIP:
If individual ownership is 20% or more please complete the Credit Authorization Release Form.
Each owner with 20% or more ownership is required to complete a Credit release form. See FAQ "When is a Personal Guarantee needed."
Equipment Lease Financing Release Form. NELC requires your signature to process application. Please fill out, sign then fax or e-mail
Credit Authorization release form.
 
 
*Validation:
Please enter the characters you see below...


 
 
Protected by Secure Socket Layer