Company Information
*Your First Name:
*Your Last Name:
*Email Address:
*Phone Number:
Preferred Contact Method:
Company Name:
Sole Proprietor name or DBA:
*How many years have you been in business?
Equipment Information
*Line of credit seeking:
*Equipment Description if applicable:
*Do You Have A Personal Guarantor?
COMMENTS:
*BY CHECKING THE BELOW BOX, EACH ABOVE MENTIONED INDIVIDUAL(S), WHO IS EITHER A PRINCIPAL OF THE CREDIT APPLICANT LISTED ABOVE OR A PERSONAL GUARANTOR OF ITS OBLIGATIONS, PROVIDES AUTHORIZATION TO OFFICE SYSTEMS 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 COPY, ELECTRONIC RECORD, OR FACSIMILE COPY OF THIS AUTHORIZATION SHALL BE AS VALID AS THE ORIGINAL. NOTE: This app is for a open line for supplies only. Equipment leasing is a separate application and can be delivered through you Office Systems sales rep.
