Delta Strike Finance Lease Application

Thank you for allowing Delta Strike to provide your company with lease financing for your laser tag system. Please fill in the form below - or click here to download the application form and fax it back to us.

Business Information

Company :
Doing Business As :
Street :
City :
State :
Zip Code :
Country :
Website :
Business Structure :
Date Company Formed :
Federal Tax ID Number :
Business Description / Other Comments :

Ownership Information

Number of Principals/Owners :
Principal / Owner Title :
First Name :
Middle Name :
Last Name :
Email :
Phone :
Fax :
Mobile :
Ownership Percentage :
Social Security Number :
Home Street Address :
Home City :
Home State :
Home ZIP :
Home Phone :
	Click here to add more Principal/Owner information

Finance Details

Finance Amount :
Equipment Description :
Is Equipment New or Used? :
Vendor Company Name :
Estimated Delivery Date :

Bank References

Bank Name :
Bank Contact :
Bank Phone :
Bank Fax :
Bank Account Type :
Bank Account Number :

Authorisation :	By checking this box, each individual, who is either a principal of the credit applicant listed above or a personal guarantor of its obligations, provides written instructions to Delta Strike International Ltd. or its designee (and any assignee or potential assignee thereof) to begin processing the Lease Application. After clicking 'Save' below and sending the information to our secure servers, you will be prompted to download a Credit Release Form. We will need this form completed, signed and either emailed or faxed back to us in order to complete your Lease Application in a timely manner. We look forward to providing you with a timely response to your financing request.

Creating Laser Tag

Delta Strike Finance Lease Application