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Online Application

Business Partners Online Application

Submit or print page and fax to (713) 783-7813.

 


BUSINESS PARTNERS /VENDOR INFORMATION

 

Dealer Corporate Name  
DBA  
Address  
City  
State  
Zip  
No. of yrs. in Business  

   Proprietorship    Partnership

   Corporation

Telephone #  
Cell Phone #  
Fax #  
E-mail  
Web Address  
 

 INFORMATION ON OFFICERS OR PARTNERS

Owner 1

 
Title  
% Ownership  
 
 
Owner 2  
Title  
% Ownership  
 

 BANK REFERENCES

Commercial Bank

 
Account #  
Contact Person  
Telephone #  
 

 SUPPLIERS
 
Supplier 1  
Contact Person  
Telephone #  
 
 
Supplier 2  
Contact Person  
Telephone #  
 

 PRODUCTS SOLD
 

  Description 

   
 

ACKNOWLEDGEMENT AND AUTHORIZATION

 
Name of Person Submitting form:
 
By submitting this application you are authorizing Harris Leasing Company to contact the above references for the purpose of obtaining business credit.
 
  
 
The submitted information is for the sole purpose of verifying credit references in anticipation of a leasing agreement and will not be sold or otherwise distributed to anyone not employed by Harris Leasing Company for any reason.


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Lease Man...Bringing the Power of Leasing to YOU! Harris Leasing Company
3100 S. Gessner, Suite 108
Houston, Texas 77063
(713) 783-7820 or (800) 783-7820
info@harrisleasing.com