FINANCING SGM PROJECTORS
REQUEST FOR QUOTATION/LEASE APPLICATION FORM

For more information please contact the Sales Department at + 39 0721 47 64 77 or via e-mail to sgm@leasingservices.nl

Please choose:
Request for quotation         Lease Application

CUSTOMER LESSEE
Company Name
Full Legal Address
City/Country
Postal/ZIP Code
Company Registration
No.of years in business
Contact Person
Telephone
E-mail address

SGM AUTHORIZED RE-SELLER
Company Name
Full Legal Address
City/Country
Postal/ZIP Code
VAT Number
Contact Person
Telephone
E-mail address

EQUIPMENT SPECIFICATION
Currency
Quantity
Specification
Cost
Total
Total 

Additional Equipment Details


Down Payment (if any)

Duration of Financing Agreement
24 months
36 months
48 months
60 months
 Amount to be financed

Desired type of financing
Financial Lease
Hire Purchase
Operational Lease
Other (*)
  (*) please specify

With the issuance of this completed form, the applicant whose name and contact details are mentioned below, declares to have received the request for this application from the Customer Lessee in the believe, that a definite approval for this transaction, will lead to the conclusion of a financing agreement between Customer Lessee and Leasing Services or one of their financial partners.

Applicant name
Applicant telephone
Applicant e-mail
Date

By providing the above information electronically via the internet or e-mail, the applicant authorizes Leasing Services and/or their financing partners to investigate the financial responsibility and creditworthiness of the aforementioned customer lessee and will provide financial statements as the receiver deems necessary for obtaining a credit decision in respect of this application. If the applicant is not an officer of the Customer Lessee, he/she declares to have informed the Customer Lessee of the aforementioned investigation and the Customer Lessee has provided its consent to such investigation.


 
Leasing Services is a trading name of Allied Leasing B.V., registered with the Chamber of Commerce in Utrecht, The Netherlands under number 20082893.
Office address: Soestdijkseweg Zuid 253, 3721AE Bilthoven, The Netherlands
Tel. + 31 30 22 52 019 Facsimile + 31 30 22 57 907 VAT: NL 8608337B016400