*Company Name:
*Address:
 
*City:
*State:    *Zip:
*Country:
*Phone number:   Ext:
*Fax Number:
Web Address:
E-mail address:
   
*Salutation: Mr. Ms. Dr.
*First Name :
*Last Name:
*Title:
*Phone number:   Ext:
*Email:
   
What is your estimated annual budget that you spend on your equipment needs?
 
   
What type of equipment are you currently looking at purchasing?
Manufacturing Other:
Industrial Other:
Medical Other:
Construction Other:
Transportation Other:
Computers(Hi-tech)    
Software    
Office Furniture    
Telecommunication    
   
Estimated cost of the equipment your are currently acquiring?
 
   
What are the anticipated delivery/Installation dates for the project
Start Date: Click Here
End Date: Click Here
   
Have you chosen a vendor? Yes     No
 
Have you ordered the equipment? Yes     No
If so, when Click Here
 
Have you paid for any of the equipment? Yes     No
       if so, Amount $
If so, when Click Here
 
What is your desired Lease Term:
2 Years    3 Years    4 Years    5 Years    7 Years   
 
What is your desired Structure:
Operating Lease     Capital Lease
 
What is your desired lease End of Term:
FMV    10% Option     % Option   $1.00 Buyout
 
When will decision be made: 
 
What is the Decision Makers Name:
        Decision Makers Title:
   
Best Date for us to contact you: Click Here
Best Time in the day for us to contact you:
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CSK Leasing
2 Venture, Suite 210
Irvine, California 92618
Tel: 949-387-2626
Fax: 949-387-2635
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