VENDOR FINANCING PROPOSAL REQUEST
OTHER EQUIPMENT
Company (Vendor):
Contact:
Phone:
Fax:
Email:
Address:
City:
State:
Zip:
Please provide a FMLC lease purchase proposal for the following transaction.
I (we) have read and agree to the terms and conditions set forth in the
Internet Site Disclaimer
contained on the cover page of this site.
Customer Name:
Contact Name:
Title:
Address:
City:
State:
Zip:
Phone:
Fax:
Bid or proposal due date:
Equipment Description:
Cost:
Est delivery date:
Lease Term requested:
years
Frequency of payment:
Annual
Semi-Annual
Quarterly
Monthly
In advance:
In arrears:
Commencing:
Down payment (if any)($):
Payable on delivery:
Payable at time of order:
Do you want us to account for progress payments to you as vendor prior to the equipment delivery to the customer, if so, When:
Date:
How Much:
For What: (description)
Other essential information that will allow us to tailor our proposal to your specific needs:
Do you know if your customer will be
Bank Qualified or Non Bank Qualified
for this calendar year ( if in doubt use link to prior description):
No
Yes
Unknown
If unknown, may we contact customer directly:
Name:
Phone:
E-Mail:
We will forward our proposal to the vendor contact indicated above unless you indicate otherwise below.
Forward proposal to:
Name:
Title:
Organization:
By fax (number):
By mail (address):
City:
State:
Zip:
Finally, did you find completing this application:
Easy
Difficult
What would you suggest be revised to make it easier next time:
1905 Foothills Drive South :: Golden, CO 80401-9186 :: Phone: 888.456.0046 :: Fax: 888.FAX.FMLC (329.3652)
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