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OCEAN aVENGER bEAM lINE
OCEAN AVENGER BEAM LINE
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On-Line Lease Application Form

On-Line Lease Application Form for Ocean Avenger

This On Line lease Application Form is for the Ocean Avenger Beam Line Only, and is designed to to be filled out on-line and submitted on-line. If you would prefer to print out your form and fill it in by hand and fax it, please go to our printable lease application form. Ocean Machinery can process your lease application form in as little as 24-HOURS 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:* 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. 

                       

To receive your free video and brochure on this amazing Beam Drill Line, please complete our beam line video and information request form

 

 

Address 6720 NW 15th Way, Fort Lauderdale FL 33309 USA : Toll Free (800) 286 3624 : Tel (954) 956 3131 : Fax (954) 956 3199

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