Iron Grip

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Dealer Inquiry

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To apply for an equipment lease, please complete the following application. Upon completion, click on "submit" to send your application electronically. A leasing specialist will contact you shortly.

COMPANY INFORMATION (Required)

Company Name

Street Address	City, State, Zip

Phone Number	Contact Person

Type of Business	Years in Business

Business Structure
Corporation Partnership Proprietorship
Federal Tax ID#	DUNS#

EQUIPMENT DESCRIPTION (Required)

Description of Equipment

Equipment Location

Equipment Cost	Requested Terms (in months)

VENDOR OR AUCTIONEER

Name	Contact

Street Address	City/State/Zip

Phone

BANK INFORMATION (Required)

1. Name	Phone Number

Account Number	Contact

2. Name	Phone Number

Account Number	Contact

TRADE REFERENCES
**Please include at least one bank loan and/or lease if available**

1. Name of Business	Phone Number

Account Number	Contact

2. Name of Business	Phone Number

Account Number	Contact

3. Name of Business	Phone Number

Account Number	Contact

OFFICERS (Required if closely held or Start-Up)

Owner/President	Social Security #

Home Address	City, State, Zip

Additional Officer	Social Security #

Home Address	City, State, Zip