Trimarc, Management: Assets, Resources, Capital

Leasing Referrals Equipment Venture Capital Lender Vendor Broker

Trimarc Newsletter

sign-up:

	End-User
	Vendor
	Broker
	Lender

VENDOR APPLICATION:

Are you interested in selling more of your product? Please complete the following application.

The Information that you provide us will remain confidential, and shall not be used for any purpose other than for the processing of the lease application.

SECTION #1 CONTACT INFORMATION

		Your Information
First Name:
Last Name:
Middle Initial:
Title:
Company Name:
Phone:
E-mail:

		Client's Information
First Name:
Last Name:
Middle Initial:
Title:

Company Name:
Address:
Address:
City:
State:
Zip:

Phone:
Fax:
E-mail:

If publicly held, enter stock symbol and go to Section #2:

If privately held, please answer the remaining questions in Section 1 and then proceed to Section2

Organizational Structure:
Number of Years in business:
Type of business:		(Please enter description)

Please fax to us two years of financial statements with notes or if not available, please complete the following:

Revenue:
Net Income:
Current Assets:
Current Liabilities:
Total Liabilities:
Net Worth:


SECTION #2 TRANSACTION INFORMATION
Description of Equipment being acquired:
Price of equipment:
Approximate date of delivery:
What kind of lease does your client want?
What specific end of term options do you need:
What lease term?

Do you want to review your information before you submit? click here

Thank you very much for your consideration. Your application will be reviewed, and you can expect a response within 4 hours. If we need additional information, a Trimarc specialist will contact you asap. We look forward to working together!