EQUIPMENT LEASING – LION KING NETWORK GROUP INC,

FIRST NAME AND LAST NAME *

Date

% OF OWNERSHIP *

SSN # *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Confirm Email Address *

2nd OWNER/PRINCIPAL INFORMATION *

Date

% OF OWNERSHIP *

SSN # *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Email Address *

Confirm Email Address *

BUSINESS NAME *

DOING BUSINESS AS D/B/A *

BUSINESS START DATE *

BUSINESS TAX ID# *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Business Email Address *

Confirm Email Address *

Website

YOUR PHONE NUMBER *

YOUR BUSINESS PHONE NUMBER *

TYPE OF BUSINESS/ PLEASE DESCRIBE WHAT TYPE OF BUSINESS YOU OPERATING *

PLEASE SELECT ONE

PLEASE UPLOAD YOUR DOCUMENTS *PLEASE UPLOAD A BUSINESS VOIDED CHECK, DRIVER LICENSE. AND THREE MONTHS BANK STATEMENT.

ARE YOU A NEW BUSINESS

HOW MANY LOCATIONS DO OWN *

AMOUNT REQUESTED *

HOW MANY EQUIPMENT DO YOU NEED FOR YOUR BUSINESS *

WHAT KIND OF EQUIPMENT/S DO YOU NEED *

TOTAL MONTHLY SALES (ALL FORM OF REVENUE) *

WHAT IS YOUR CREDIT SCORE

HOW MANY YEAR/S ARE YOU LOOKING FOR

PLEASE LET US KNOW WHY YOU CHOOSE US OR WHAT YOU DON'T LIKE ABOUT YOUR CURRENT EQUIPMENT AND YOUR PROCESSING COMPANY *

WHO REFER YOU/ INDEPENDENT SALE REPRESENTATIVE

HOW DID YOU HEAR ABOUT US