NEC Financial Services, LLC - Rate Quote Over $150,000 Form

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NEC FINANCIAL SERVICES, LLC
250 PEHLE AVENUE SUITE 309
SADDLE BROOK NJ 07663-5888

TEL: (800) 451-5361
FAX: (800) 451-5360

http://www.neclease.com

To obtain the most aggressive rate quote, please provide your NEC Leasing Professional with as much information as possible regarding the end user, the equipment and the financing terms they are looking for.

You can also download a PDF version of "Rate Quote Over $150,000". Simply complete all information and fax back to our Leasing Sales Service Center at (800) 451-5360.

Dealer Info:

*Dealer Name:
*Sales Rep / Contact Name:
*Phone:
Fax:
*Email:

Customer Info:

*Customer Name:
	Municipal / Government Customer
Headquarters Address:

City:
State:
Zip:
*Phone:
Email:

Equipment Cost:

Manufacturer:
Equipment Type(s):
Equipment Costs:
Cabling/Labor Costs:
Tax:
Total:
Estimated Installation Date:

Lease Quotes Requested:

*Purchase Options:	FMV 10% $1.00
*Terms:	24 36 48 60 72
*Number of Advance Rentals:	0 1 2

Comments / Instructions: