5k 2004 Caterpillar GC25K

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Capacity :	Fuel Type:
Mast Type:	Height/Max:
Tire Type:
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Call Now! 305-836-4337

Lease to Own Program

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First & Last payment due to start lease.

Please fill out all required fields and submit your Credit Application for Pre Approval for financing!

Company Name:*
Company Address:*
Company City:*
Company State:*
Company Zip Code:*
Company Phone:*
Email Address:*

Corperate Structure*

Number of Owners*

Number of Employees*

Owner First Name*
Owner Last Name*
Owner Address*
Owner City*
Owner State*
Owner Zip Code*
Owner SSN

Social Security Number will be needed for companies with less than 6 years in business.

If applicable
Co-Owner First Name
Co-Owner Last Name
Co-Owner Address
Co-Owner City
Co-Owner State
Co-Owner Zip Code
Co-Owner SSN

Social Security Number will be needed for companies with less than 6 years in business.

Equipment Type*

Capacity*

Equipment Year*

Manufacturer*

Model Number*

Equipment Cost*

I (we) agree to authorize OJL Forklift & Equipment, Inc. and its assigns to full credit reports on the above applicant(s) but not limited to banking relations and personal credit.

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Complete Address
On-site Contact Name		On-site Contact Phone #
Date of Job	[datepicker* datepicker-839 format:mm/dd/yy disable_weekdays:sunday]	Arrival Time
Job Scope

We do charge a fee to come out and do the evaluation