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: Leasing Pre-Qualification

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   Equipment leasing for Advanced Internet Access, LLC, is provided by First Pacific Funding in Kirkland, Washington. Our contact there is Mike Wald.  Mr. Wald is the National Account Manager and will be able to answer all of your questions, including costs.

Just complete this form. Click on Submit when ready to send. The form will be immediately forwarded to Mr. Wald.

If you have any problems with Mr. Wald not responding to you in a timely fashion, please let us know by calling our office at 425-814-2216.

  Required fields are in red.

Your name:

Email address:

Telephone:

 

Fax number:

Business name:

  (or enter 'NA' for not applicable)

Mailing address:

Merchant acct. application:

Is your bank and business in the United States?

 

Projected annual sales volume (if available):

Projected amount of lease in US dollars:

Any comments?

 

 

 

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