Leasing

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Leasing

Please complete the following leasing form

Vendor Name
4 Wheels Enterprises

Vendor NO.
4932570

Contact Name & Title
4 Wheels Enterprises

Tel Number
905-517-4249

Fax Number
289-280-0240

Information

Customer's Full Legal Name
- Include Trade Name *

Email
Address *

Contact
Name & Title *

Customer's Address(Head Office) *

Phone Number *

Cell Number *

Fax Number *

Type of Business / SIC *

Year of Business *

Proposed Transactional Details

General Equipment Description:

Equipment Description *

For Office Use Only:

Invoice Cost *

Less Trade-In *

Plus B/O OR T/U *

Equipment *

New

Equipment Cost *

Term to P/O-EOL *

Regular *

Down Payment *

Residual *

Trade-up or buyout# *

Principal Shareholders Information

(1) Last Name *

(1) First Name *

(1) Initial *

(1) S.I.N.(Optional) *

(1) Date of Birth (mm/dd/yyy) *

(1) Home Address *

(1) City *

(1) Province *

(1) Postal Code *

(1) Truck *

Own Rent Other

(1) Other-Please Specify

(1) Monthly Income *

(1) Telephone Number *

(1) Mobile Number *

(2) Last Name *

(2) First Name *

(2) Initial *

(2) S.I.N.(Optional) *

(2) Date of Birth (mm/dd/yyy) *

(2) Home Address *

(2) City *

(2) Province *

(2) Postal Code

(2) Truck *

Own Rent Other

(2) Other-Please Specify

(2) Monthly Income *

(2) Telephone Number *

(2) Mobile Number *