Lease Agreement Lessee Details Please fill in all required fields * Legal Name of Lessee in full* Trading Name* Entity Type* Please select from drop down SME Enterprise Corporate Professional < 5 Professional > 5 School Tertiary Institution SOE Government Sole Trader Partner This field is required. Business Activity* Years in Business Postal Address* : Physical Address of Equipment Location* Contact Name (in full)* Job Title* Email* Phone* Web Insurer* Insurer Contact* Equipment Brief Equipment Description* Equipment Cost* Lease Payment per month (in advance)* Term in Months* First Lease Payment* (1 month in advance) Lease Type* Please select from drop down Operating Lease Lease to Own This field is required. Supplier* Representative* Phone* Partners/Sharehoulder/Sole Trader/Details Application One Full Name* Residential Address* Date of Birth* Property Owner* YES NO Application Two Full Name* Residential Address* Date of Birth* Property Owner* YES NO Application Three Full Name* Residential Address* Date of Birth* Property Owner* YES NO Application Four Full Name* Residential Address* Date of Birth* Property Owner* YES NO Application Five Full Name* Residential Address* Date of Birth* Property Owner* : YES NO Trade References Please provide three Trade referees that are willing to provide credit references. There references should be trade suppliers and not utility providers or credit card companies. Trade Reference 1* Phone* Trade Reference 2* Phone* Trade Reference 3* Phone* Print and Sign form Please print the Lease agreement and sign, as lessee, guarantors, and associated witnesses must also sign. To view an online PDF of the Terms and Conditions please click Terms and Conditions below.
