Leasing
Application
M&C Leasing Co.
85 River Rock Drive, Suite 104
Buffalo, NY 14207-2170
1-800-416-9080 or (716) 873-6800 Fax (716)873-1002
To submit an application on the web goto www.mcleasing.com
Company Name _______________________________________________
Address ______________________________________________________
City ______________________ State ____ Zip _________ Country
______
Telephone _________________ Fax __________________
Business Information
____ Corporation ____ Partnership ____ Proprietorship
Nature of Business _____________________________________________
Date Started __________________________________________________
Owner Information
Principal (Name/Title)___________________________________________
Social Security________________________________________________
Home Address ________________________________________________
Telephone ____________________________________________________
Bank and Trade References
Bank Reference _______________________________________________
Account # ____________________________________________________
Telephone ____________________________________________________
Contact ______________________________________________________
Trade Reference #1 _____________________________________________
Account # ____________________________________________________
Telephone ____________________________________________________
Contact ______________________________________________________
Trade
Reference #2 _____________________________________________
Account # ____________________________________________________
Telephone ____________________________________________________
Contact ______________________________________________________
Trade
Reference #3 _____________________________________________
Account # ____________________________________________________
Telephone ____________________________________________________
Contact ______________________________________________________
To secure leasing funding, I authorize all requested bank and
trade information to be released by telephone or fax to M&C
Leasing Company, Inc. The undersigned hereby waives any
privacy of credit information rights or regulations.
Date ___________ Principal's Signature ____________________________
Items to Purchase
| Description |
QuickStore
Point-of-Sale
software, computer hardware, and point-of-sale equipment.
|
| Cost
of Equipment |
$ |
| Vendor
Name |
Premier
Data Systems |
| Telephone |
972-235-2800 |
| Contact |
David
Johnson |
| Approved |
__________________________ |
