Reading Time: < 1 minute URLThis field is for validation purposes and should be left unchanged.Company Name(Required)Contact Name(Required)Email(Required) Phone(Required)Type of Equipment(Required)Cost of equipment(Required)NumberOwner Name(Required)Business address(Required) Street Address City State / Province / Region ZIP / Postal Code Years in BusinessSSN(Required)Fed Tax IDHome Address(Required) Same as previous Street Address City State / Province / Region ZIP / Postal Code Certification and E-SignaturePlease review the information above for accuracy, then type your full legal name below and confirm the authorization to complete your application.Type your full legal name as your E-Signature(Required)Certification(Required) I certify that the information provided is true and accurate, and I agree to the authorization above. I certify that the information provided in this application is true and accurate to the best of my knowledge. I authorize Trident Leasing Corp and its agents to verify this information and to obtain consumer and/or business credit reports and background inquiries as needed to evaluate this application. I understand that typing my name above constitutes my electronic signature, legally binding under the federal E-SIGN Act and applicable state UETA laws, with the same legal effect as a handwritten signature.
