Application; ;

Capital City Leasing, Inc.
13170 G Pond Springs Rd
Austin, TX 78729
Phone(512) 346-9393;
Fax:(512) 346-5527;
E-mail:lease@capcityleasing.com

Lease/Purchase Application

Date; ___________

Entity ;_______________________________________

Address; __________________________

City; ________________________

Contact Name; _________________________

Telephone Number; ____________________

Fiscal Year ends; ________________________

Email Address; ______________________________

  1. Equipment to be Leased (Make, model, description, cost)

________________________________________________________

________________________________________________________

________________________________________________________

_______________________________________________________

  1. Is a formal bid required? Yes___No___
  2. Date Bid Required ;_________________
  3. Expected Delivery date______________
  4. Equipment Usage: _________________________
  5. Financing Term desired:____________Years
  6. Payment Frequency Desired: Monthly _____ Quarterly_____ Semi-Annual_____Annual______
  7. Vendor:_______________________________ Contact:________________________________

Vendor Phone Nr. or email address:___________________________________________

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