Lemik Leasing

Company/ Individual Name*

Your Email Address*

Phone Number*

Postal Address and Physical Address

Address*

Address Line 2

City*

Contact Person

First Name*

Last Name

Contact Person’s Email Address*

Contact Person’s Phone Number*

Ownership Structure

Sole Proprietorship
Partnership

Limited Liability Company
Other/Individual

Nature of Facility

Short Term Credit Facility

Asset Leasing

Short Term Facility

Amount

Period in Months

Asset Leasing

Type of Asset

Amount

Period in Months

I hereby confirm that the information presented herein is correct and accurate to my knowledge and consent to release and evaluation of my personal/company data to enable assessment of the facility request by Lemik Leasing Limited. I further consent for holding of this information for as long as my facility remains in place or as per applicable laws.

GET A QUOTE

Postal Address and Physical Address

Contact Person

Ownership Structure

Economic Sector

Period in Operation

Nature of Facility

Short Term Facility

Asset Leasing