| RMN CAPITAL | |||||||||||
| 385 Lemon Ave E214 | |||||||||||
| Walnut, Ca. 91789 | |||||||||||
| Phone 888 766-5052 Fax (909) 598-9379 | |||||||||||
| Credit Application | |||||||||||
| Supplier: | Advantages to Leasing: | ||||||||||
| @Xi Computer Corp. | Fast and Flexible Credit Decisions | ||||||||||
| 980 Calle Negocio | Conserve on Working Capital | ||||||||||
| San Clemente, Ca. 92673 | 100% Financing | ||||||||||
| Phone 800 432-0486 Fax (949) 498-0257 | Allows equipment to pay for itself | ||||||||||
| email: sales@xicomputer.com | Professional lease assistance | ||||||||||
| CREDIT APPLICATION | |||||||||||
| (please print clearly) | |||||||||||
| Company Name (complete legal name) | Office Telephone | ||||||||||
| Street Address | City, State Zip | Fax Number | |||||||||
| Equipment Location | Years in Business | Proprietorship | |||||||||
| Corporation | |||||||||||
| County | Federal ID No. | Non-Profit Corp | |||||||||
| Partnership | |||||||||||
| Nature of Business/Specialty | Contact Person | ||||||||||
| CREDIT INFORMATION: | |||||||||||
| Primary Bank Reference | Checking Account No. | Bank Telephone | |||||||||
| 1 | |||||||||||
| Trade Reference | Account No. | Contact Name/Telephone | |||||||||
| 2 | |||||||||||
| Trade Reference | Account No. | Contact Name/Telephone | |||||||||
| PRINCIPAL/OWNER'S INFORMATION: | |||||||||||
| Owner's Full Name and Title | Social Security No. | Home Address | |||||||||
| Owner's Full Name and Title | Social Security No. | Home Address | |||||||||
| Vendor and Equipment: | |||||||||||
| Vendor and Equipment: | |||||||||||
| Vendor' Name | Address | Contact/Telephone | |||||||||
| Equipment Description (attached separate schedule if necessary) | Equipment Cost | ||||||||||
| I hereby authorize RMN Capital, it's nominees or assigns, to obtain business, as well as personal | |||||||||||
| information regarding my credit history via banks, trade references, credit reporting companies and any | |||||||||||
| other extenders of credit in order to determine credit worthiness. | |||||||||||
| Signature: | Signature: | Date: | |||||||||
| For more information call: | |||||||||||
| Roger Nakano at 888 766-5052 | |||||||||||
| Fax Your Application Today to (909) 598-9379 | |||||||||||
| email: rognakano@aol.com | |||||||||||