for Machinery and Vending Packages

We are now able to provide leases to qualified customers for our machinery and turnkey vending packages.  To be considered for a lease, please fill out the application below and your request will be handled promptly and professionally.  The minimum amount for leasing is $5,000.  Length of terms range from 12-60 months with a $1.00 buyout at the end of the term. Rates are based upon your credit score and information provided in your application.   If you have questions or would like more information, please contact us at 1-800-927-4526 or email us at info@zeesevending.com   If you would like to print and fax the application, please print out this form, sign the bottom of the application and fax back to 908-626-1627 Attn: Leasing.

All fields marked with an * are required within a required section. If you type anything in a non-required section, then all fields with an * are required. If a section is not required, then you may skip that section.  Financing services available only to residents of the United States.

E-Mail Address

Enter your e-mail address to receive a confirmation letter.

Company Name *

Contact

Address Line 1

City

State / Province

- Choose - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming - Canada - Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip / Postal Code

County

Company Phone

###-###-####

Contact Phone

###-###-####

Fax

###-###-####

Business Structure

- Choose - C Corporation L.L.C. Other Partnership S Corporation Sole Proprietor

Years in Business

Contact Cell Phone

Amount *

###.##

Equipment Description

Principals 1

Title

- Choose - CEO CFO Owner President Treasurer Vice President

First Name

Middle

Last Name

Ownership %

### (Do not use a percent sign or decimal.)

SSN

###-##-####

Street Number (home)

Street Direction (home)

Street Name (home)

Street Type (home)

City

State / Province

- Choose - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming - Canada - Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip / Postal Code

Phone

###-###-#### 

Principals 2

Title

- Choose - CEO CFO Owner President Treasurer Vice President

First Name

Middle

Last Name

Ownership %

### (Do not use a percent sign or decimal.)

SSN

###-##-####

Street Number (home)

Street Direction (home)

Street Name (home)

Street Type (home)

City

State / Province

- Choose - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming - Canada - Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip / Postal Code

Phone

###-###-#### 

Principals 3

Title

- Choose - CEO CFO Owner President Treasurer Vice President

First Name

Middle

Last Name

Ownership %

### (Do not use a percent sign or decimal.)

SSN

###-##-####

Street Number (home)

Street Direction (home)

Street Name (home)

Street Type (home)

City

State / Province

- Choose - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming - Canada - Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory

Zip / Postal Code

Phone

###-###-####

Bank Name

Phone

###-###-####

Account Number

Vendor Name

Sales Rep

Phone

E-Mail

By checking this box, each undersigned individual(s), who is either a principal of the credit applicant listed below or a personal guarantor of its obligations, provides written instruction to Alliance Capital Group, LLC or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purpose of update, renewal or extension of such credit and for reviewing or collecting the resulting account. A photostatic or facsimile copy of this authorization shall be as valid as the original.