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LEASING

Please call 800-889-9333 for prices and totals before using this form.

Leasing is provided by:

ORIX Credit Alliance, Inc.
Leasing Service Division
Phone 800-234-0680

and

All In One Leasing
562-439-1736

Please take a moment to fill out our Express Application to begin the process.

Lessee Name

Address

City

State

Zip

Phone
Fax

Type of Business (Check One) Proprietorship Partnership Corporation

Years in Business Lessee Contact

Equipment Description

Amount to Finance

Submission of this form will serve as your authorizing signature. Be sure all information is accurate as further contact will be necessary for processing.