Lease Questionnaire Δ Applicant name(Required) First Last Applicant email(Required) Phone(Required)Company Name(Required)Company Address 1(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Incorporation(Required) MM slash DD slash YYYY Nature of Business(Required)Type Of TruckWhat type of truck do you need?(Required)SelectBox TruckFlatbedDump TruckReeferUtility TruckPickup TruckCab / ChassisWhat type of motor do you prefer?(Required)SelectGasDieselNo preferenceWhat body or upfit do you require?(Required)What length do you need the body to be?(Required)Do you need a lift gate?(Required)SelectYesNoPlease outline any other items that you require with the upfit:(Required)CargoWhat sort of cargo are you hauling?(Required)How much weight do you plan on hauling?(Required)Is the cargo palletized?(Required)SelectYesNoHow do you load it?(Required)SelectDock-to-DockForkliftLiftgate/RampOtherRouteWhere will the truck be based out of?(Required)Estimated monthly miles?(Required)Are you planning on crossing state lines?(Required)SelectYesNoContractDesired lease term (yrs)(Required)Desired monthly payment(Required)Desired lease structure(Required)SelectFull Maintenance LeaseOperating LeaseCapital LeaseExploring All Options Once completed, please fill out the Credit Application
