LA PRIMAVERA ICE CREAM CORP

Equipment Loan/Lease Agreement

PERSONAL INFORMATION
FIRST NAME *
LAST NAME *
Drivers License or ID No/State *
Document Type * Drivers LicenseIdentification
EMAIL *
PHONE NUMBER *
ADDRESS
CITY
STATE
ZIP CODE
BUSINESS INFORMATION
BUSINESS LEGAL NAME *
Document Type * Sole ProprietorPartnershipCorporation
BUSINESS EMAIL *
BUSINESS PHONE NUMBER *
BUSINESS ADDRESS
CITY
STATE
ZIP CODE
LICENSE
BUSINESS LICENSE NUMBER
CITY
COUNTY
STATE
SALES TAX INFORMATION
FEIN NUMBER
SALES TAX RESALE CERTIFICATION NUMBER
STATE
CONTACT PERSON
POSITION
TELEPHONE

I Agree with the Loan/Lease Agreement

*Your information will never be shared with any third party.