Company basics

(If any)

Company location

No P.O. Boxes

Company principal

Please provide two financial institution references, such as the checking account you use for the business.

First institution

Second institution

Primary equipment to be purchased

Optional: Upload a copy of the equipment quote

By submitting this application, the applicant(s) certifies that all information contained herein,and all attachments hereto, are true, complete and accurate to the best of the applicant(s) knowledge and are made for the purpose of obtaining credit for business purposes. The applicant(s) hereby authorizes Contain Inc and its assigns and/or affiliates to obtain consumer credit reports now and in the future as deemed necessary by Contain Inc and its assigns and/or affiliates for purposes including but not limited to the evaluation and/or extension of the business credit requested, review of the applicant(s) account, taking collection action on the applicant(s) account, and any other legitimate purpose associated with the applicant(s) account. The applicant(s) further authorizes any government agency, bank or financial institution to release credit information on the applicant(s) to Contain Inc and its assigns and/or affiliates. Each individual signing below waives any right or claim that such individual would otherwise have under the Fair Credit Reporting Act in absence of this continuing consent. Applicant agrees that submission of an electronic, photocopy or facsimile copy of a signed authorization shall be deemed to be binding, valid, genuine and authentic as an original-signature document for all purposes. The applicant(s) further authorizes Contain Inc to mail, fax or e-mail solicitations for future lease financing services or promotions to the applicant(s).