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PennStro Leasing Credit Application

Name*
Company Address*
If billing address is same as company address check here:
Billing Address
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    Please provide three (3) similar trade/vendor references

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    Name*
    Name*
    Insurance Provider Contact Name*

    Agreement

    Permission is hereby granted to PennStro Leasing, LLC, and any financial institutions recommended for equipment financing to obtain any credit information necessary to establish this account. It is understood and agreed that terms are 21 DAYS from date of invoice and any fees incurred from outside sources to collect money owed will be the responsibility of the customer to pay. By signing below, (1) I represent and warrant that I am authorized to agree to the STANDARD TERMS AND CONDITIONS set forth on behalf of the applicant, (2) I am the individual identified, and (3) I understand that I am agreeing to the STANDARD TERMS AND CONDITIONS on behalf of the applicant.

    Clear Signature
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