National Equipment Leasing Corporation

Vendor Application

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* = Required

*BUSINESS NAME:
*ZIP CODE:
*YEARS UNDER CURRENT OWNERSHIP:

*CONTACT PERSON & TITLE:
*EMAIL ADDRESS :
*DIRECT PHONE # & EXT:
*BEST DAY & TIME TO CALL:

*EQUIPMENT TYPE(S) SOLD:
*EQUIPMENT VALUES (Example ($5,000 to $100,000) :
*NEW OR USED :
*OFFERING LEASE-FINANCING NOW?
*DESCRIBE LEASE-FINANCE PROGRAMS DESIRED :
*WHERE DO YOU SELL:
*DESCRIBE YOUR CUSTOMER'S COMPANY :
*MANUFACTURER'S CODE (NELC CODE 345769):

Validation:	Please enter the characters you see below...
* I authorize the expeditious release of all business & personal credit, deposit and borrowing information to National Equipment Leasing Corp., its designee & assignee. A facsimile of such authorization to be treated as an original.


Since 1988 National Equipment Leasing Corporation has provided programs that increase sales.
We look forward to providing the same for your company

Thank you for the opportunity