Name

Company

Email Address

Phone

Fax

Equipment to be Financed

New Used

Year

Cost Price

Amount to be Financed

Facility Required:

Hire Purchase
Chattel Mortgage
Lease

Hire Purchase

Term
2 years
3 years
4 years
5 years

Balloon
nil
10%
20%
30%
40%
50%

Lease or Rental

Term
2 years
3 years
4 years
5 years

Residual: standard tax based residuals on leases will be given unless set residual required.

Who do you bank with?