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Lease-finance products for
Federal Government Sales at:

www.procap-fed.com

Site Home > Supplier Services Home > Financing Request

For your convenience, this online application is provided in order to expedite the processing of your request. Please be as specific as possible in completing this form and when finished select the "Submit" button below. You will receive a response, subject to final credit approval , within 48 hours via your specified preference, e-mail or fax.


Your Name :
Company Name :
City :
State :
Your E-Mail Address :
Phone Number :

Underwriting Information:

Customer Organization Type :
Customer Name :
Customer City and State:

Please describe the asset being financed and its probable impact on the Municipal Customer's operation



Equipment Cost $:	(Up to 100% of Cost)
Finance Amount $:
Desired Term of Financing:		Year(s) Month(s)
Payment Frequency:
Desired Payment Type:
Desired First Payment Date:	or mm/dd/yyyy



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