Continental Financial Lease to Own Application for Volke Model #400 Dough Sheeter
COMPLETE THIS PRE-QUALIFICATION FORM AND
FAX:
800-323-5512
OR
MAIL:
David D. Meneses, CLE
Director of Sales
Continental Financial
2600 South 25th Ave    2nd floor
Broadview, IL 60155
(800) 323-4112
(312) 214-5200 Ext . 127
Attn: DAVID MENESES
Company Name: ____________________________________________________________________
Address: ___________________________________ City/State/Zip: __________________________
Telephone: ____________________ Fax: ______________________ County: __________________
Years in Business: ______________________ Fed. I.D. # __________________________________
Owner(s) Information:
Name: ______________________________________________ S.S.# _________________________
Address: ___________________________________ City/State/Zip: __________________________
Name: ______________________________________________ S.S.# _________________________
Address: ___________________________________ City/State/Zip: __________________________
Company Bank: ____________________________________________________________________
Phone: ________________________Check Acct #: ________________________________________
Trades & Credit References:
1.) ______________________________________________________ Phone: ___________________
2.) ______________________________________________________ Phone: ___________________
Type of Equipment: Volke Manufacturing, LLC Model #400-B Dough Sheeter. Equipment Cost ($) 2795.00
Type of Equipment: Volke Manufacturing, LLC Model #400-W Dough Sheeter. Equipment Cost ($) 2995.00
 

For the purpose of securing LEASE FINANCING, I authorize all deposit and borrowing
information to be released by telephone or fax.
Signature: ___________________________________________________ Date: _________________