Name: Flat Rate Copiers
Address: 33122, 8236 NW 30th Terrace, Doral, FL
Telephone: 877-781-5112

Tell us about your business
Company Name*
Business Type:*
Business Structure*
You must have a verifiable business.
Name of the Director, Officers, or Managers:
Please list the names of the Director, Officer or managers along with their title in the space above.
How many Years has the company been in business?*
Please enter a value between 0 and 50.
Please enter a the number of years your company has been in business. This should be verified.
Date Business Established*
Who will be the Contact person at your company ?*
First Last
This can be any person in charge of coordinating the lease and delivery or the copier.
Contact Person Title?
Administrator, CEO, COO, President, etc
Email*
Phone*
Federal I.D. #*
Website (optional)
Is the Equipment address the same as the Business address?*
Please enter Equipment Address*
Street Address Address Line 2 City State ZIP Code
Business Address*
Street Address Address Line 2 City State ZIP Code

Companies with less than 3 years in business will need someone to act as a Guarantor. This can be a representative of your company or any person associated.

The lease will Not be on the Guarantor's personal credit. This is merely a person that can be verified as a US citizen or resident.
Guarantor's First Name
First Name of the one personally responsible for the equipment /copier.
Guarantor's Last Name
Last Name of the one personally responsible for the equipment /copier.
Guarantor's Title
What % Ownership is the Guarantor ?
Guarantor's Phone
The personal contact number of the applicant / Guarantor
Guarantor's Address
Street Address Address Line 2 City State ZIP Code
Guarantor's Social Security Number
All of this information is Secure and routed using encrypted secure code. **The lease will not be on Guarantor's personal credit. This is for verification of the Corp officer approval
Guarantor's Date of Birth

You're on your way to an approval! Please give us permission to process the information you submitted.
Please check the box to Acknowledge the terms of this application*
- I Agree
BANK & TRADE DISCLOSURE STATEMENT The undersigned authorizes full disclosure of information pertaining to the business credit of the undersigned applicant in processing a lease financing application for which same has applied. To allow for easy processing, lessee gives its consent to have any such information given by fax, email or any other common means as the institution may dictate. This request applies fully to Flat Rate Copiers LLC., its affiliates and or assigns thereto.

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Lease Application