Lease Questionnaire

Applicant name(Required)

First Last

Applicant email(Required)

Phone(Required)

Company Name(Required)

Company Address 1(Required)

Street Address ZIP / Postal Code

Date of Incorporation(Required)

Nature of Business(Required)

What body or upfit do you require?(Required)

What length do you need the body to be?

Do you need a lift gate?

What weight capacity?

What sort of cargo are you hauling?

How much weight (lbs) do you plan on hauling?

Is the cargo palletized?

How do you load it? Dock to dock? Forklift?

Where will the truck be based out of?

How many miles a month do you plan on running?

Are you planning on crossing state lines?

Lease Term (yrs)

Desired Monthly (if applicable)

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