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Customer Referral Form


After we complete a transaction with a customer referred by you, you or your company are/is eligible to receive one of the following items: A laptop computer! A 25 basis point reduced rate lease financing offer! A donation to your selected charity!

Please provide the following information:

Your Name:
E-mail Address:
Phone Number:
Company Name:
Referral #1
Name:
Title:
E-mail Address:
Phone Number:
Company Name:
What type of equipment is this customer acquiring?:
What type of lease do they want?
Referral #2
Name:
Title:
E-mail Address:
Phone Number:
Company Name:
What type of equipment is this customer acquiring?:
What type of lease do they want?
Referral #3
Name:
Title:
E-mail Address:
Phone Number:
Company Name:
What type of equipment is this customer acquiring?:
What type of lease do they want?