Orbital Industries LLC

Welcome to our online Lease Application. Please fill in all fields requested below for accuracy in processing your credit application. We will notify you immediately as to the status of your credit application. You may also download and print our credit application in Acrobat Reader format and fax it to us at toll free 1-800-521-3159.

Click Here To Download & Print The Application

Click here to download acrobat

Credit applications are processed Monday-Friday between the hours of 9:00AM-4:30PM. Any credit applications submitted after processing hours will be processed on the next business day.

Business Information
Date:
Business Name: *
Business Address: *
Business Address 2:
Business City: *
Business State: *	Zip: *
Email Address: *
Business Phone: *
Business Fax:
Contact Name:
Years In Business: *
Nature of Business: *


Business Officers
President / Owner: *
Home Address: *
Home City: *
Home State: *	Zip: *
Social Security: *
Home Phone:

VP / Partner:
VP Home Address:
VP City:
VP State:	Zip:
VP Social Security:
VP Home Phone:

Banking Information
Bank Name: *
Phone Number: *
Account Number: *
Banking Officer: *
Account Type: *

Trade References
Trade Reference: *
Trade Phone: *
Trade Reference 2: *
Trade Phone 2: *

Equipment Information
Equipment Vendor: *
Vendor Contact: *
Vendor Phone: *
Vendor Email: *
Equipment Price: *
Equip. Description: *

Lease Terms
Term Requested: *
By accepting below, I affirm my identity as either a principal of the applicant or a personal guarantor of its obligations, provides written instruction to Springs Financial Services, Inc. or its assigns authorizing review of his/her personal credit bureau and authorizing applicant's bank and credit references to release credit information on applicant to Springs Financial Services, Inc. and its assigns. Such authorization shall extend to obtaining a credit file in considering this application for reviewing or collecting the resulting account. A Photostat or Facsimile copy of this authorization shall be valid as the original. By accepting I affirm my identity as the individual identified in this application. ��