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Equipment Leasing Application

Equipment Information (Quantity, Model, Extras)
Approximate Total Equipment Cost?($)
Name:
Company: (Optional)
Complete Address: (street, city, state, zip)
Phone Number
Fax? (Optional)
Social Security Number
Email Address:
Occupation?
Years in Business? (If less than a year co-signor might be needed)
The persons(s) supplying the above information certifies to StenoTech, Inc. that it is true and correct. The Owners/Partners/Guarantors authorize StenoTech, Inc. to investigate his/her personal credit status, including consumer credit reports. I agree