Financing

Columbia Equipment Finance Application

Fill out the form below for a no-obligation finance quote for a new Columbia/ILSA machine! Note - your information is kept strictly confidential. We will contact you once we process your application!

Required information fields are marked with an asterisk (*) and must be completed.

Business Information

*Company Name (Exact Legal Name)**		Doing Business as (D.B.A.)

Street Address		Equipment Location Address

City	State	City	State

Zip Code		Zip Code

Telephone No*	Fax No.	Type of Business*	Gross Annual Sales

Contact*		Yrs. In Business*	Yrs. Under Current Owner*

Email*	Corporate Status	State of Incorporation	Avg. Bank Balance

Federal Tax ID No.*

Ownership Information

Principal #1 Name and Title*		Principal #2 Name and Title

% Ownership*	Yrs. Industry Experience*	% Ownership	Yrs. Industry Experience

Home Address*		Home Address

City*	State*	City	State

Zip Code*		Zip Code

Home Phone No.*	Social Security No*	Home Phone No.	Social Security No.

Equipment Dealer (if known)		Desired Lease Terms

Dealer Name	Contact	Lease Term (Months)

Telephone No.	*Amount Applied Fort**	Purchase Option

Equipment Type*

I understand this equipment finance application may be approved based upon my business and personal credit. I authorize ILSA Machines Corp. or its assignees to check references, bank accounts and credit information.