BLUEline Equipment Still the fatest growing manufacturer of carpet and tile cleaning equipment in the World!
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Leasing Application

This application is secure, so you can confidently enter your bank account and other information. That information will only be used for this leasing application and will not be released to any other party. We also have general information on leasing and lease types.

PDF File

If you prefer, you may download this PDF version of the application and fax it to BLUEline Leasing at 800-368-3268.

Click here to download the lease application.

Company Information
Business Name:
Telephone (999-999-9999):
Fax (999-999-9999):
Address (Street):
City:
State:
County:
Zip:
Email:
Type of Business:
Age of Business:
Fed. Tax ID No.:
Location of Equipment (Street Address):
Business Structure (choose one):
 Proprietorship    Partnership    L.L.C.    Corporation

Personal Information
Owner's Name:
Title:
 % of Ownership (50,100,etc.):
Social Security No. (000-00-0000):
Home Address:
City:
State: 
Zip:
Home Phone (999-999-9999):
Owner 2 Name:
Title:
% of Ownership (50,100,etc.):
Social Security No. (000-00-0000): 
Home Address:
City:  
State:  
Zip:
Home Phone:

Bank Information
Business Bank 1:
Phone:
Fax:
Name on Account:
Account Number:
Current Balance:
Business Bank 2:
Phone:
Fax:
Name on Account:
Account Number:
Current Balance:

Trade References
Trade Reference 1:
Phone:
Account Number:
Contact Person:
Trade Reference 2:
Phone:
 Account Number:
Contact Person:

Vendor & Equipment Information
Vendor Name:
Phone:
Fax
Vendor Address:
City:
State:
Zip:
Equipment To Be Leased:
Cost of Equipment:
Term of Lease (choose one):  

24 Months    36 Months    48 Months    60 Months

By pressing the "submit" button, you represent that all the information provided with this application is true and correct ad hereby authorizes BLUEline Financial or its assigns to obtain information from third parties, as BLUEline Financial may deem appropriate to consider this request. By signing below, the undersigned individual, as principal and/or guarantor for he applicant herein authorizes BLUEline Financial, its designees and assigns, to review his/her personal credit profile provided by national credit bureaus in considering this application and for the purpose of the update, renewal or extension of credit to the applicant or the collection of any resultant accounts. A facsimile copy of this authorization shall be valid as an original.

   

Copyright 2009, BLUEline Equipment Company. All rights reserved.