Financing


Columbia Equipment Finance Application

Fill out the form below for a no-obligation finance quote for a new Columbia/ILSA machine! Note - your information is kept strictly confidential. We will contact you once we process your application!

Required information fields are marked with an asterisk (*) and must be completed.

Business Information

Company Name* (Exact Legal Name)

Doing Business as (D.B.A.)

Street Address

Equipment Location Address

City

State

City

State

Zip Code

Zip Code

Telephone No*

Fax No.

Type of Business*

Gross Annual Sales

Contact*

Yrs. In Business*

Yrs. Under Current Owner*

Email*

Corporate Status

State of Incorporation

Avg. Bank Balance

Federal Tax ID No.*

Ownership Information

Principal #1 Name and Title*

Principal #2 Name and Title

% Ownership*

Yrs. Industry Experience*

% Ownership

Yrs. Industry Experience

Home Address*

Home Address

City*

State*

City

State

Zip Code*

Zip Code

Home Phone No.*

Social Security No*

Home Phone No.

Social Security No.

Equipment Dealer (if known)

Desired Lease Terms

Dealer Name

Contact Name

Lease Term (Months)

Telephone No.

Amount Applied For*

Purchase Option

Equipment Type*

I understand this equipment finance application may be approved based upon my business and personal credit. I authorize ILSA Machines Corp. or its assignees to check references, bank accounts and credit information.