Lease Questionnaire Δ Applicant name(Required) First Last Applicant email(Required) Phone(Required)Company Name(Required)Company Address 1(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Date of Incorporation(Required) MM slash DD slash YYYY Nature of Business(Required)Type Of TruckWhat type of truck do you need?(Required)SelectBox TruckFlatbedDump TruckReeferUtility TruckPickup TruckCab / ChassisWhat type of motor do you prefer?(Required)SelectGasDieselNo preferenceWhat body or upfit do you require?(Required)What length do you need the body to be?(Required)Do you need a lift gate?(Required)SelectYesNoPlease outline any other items that you require with the upfit:(Required)CargoWhat sort of cargo are you hauling?(Required)How much weight do you plan on hauling?(Required)Is the cargo palletized?(Required)SelectYesNoHow do you load it?(Required)SelectDock-to-DockForkliftLiftgate/RampOtherRouteWhere will the truck be based out of?(Required)Estimated monthly miles?(Required)Are you planning on crossing state lines?(Required)SelectYesNoContractDesired lease term (yrs)(Required)Desired monthly payment(Required)Desired lease structure(Required)SelectFull Maintenance LeaseOperating LeaseCapital LeaseExploring All Options
