FINANCING YOUR HORIZONTAL DIRECTIONAL DRILLING EQUIPMENT

FINANCING APPLICATION

StraightLine HDD, Inc. offers assistance in obtaining suitable financing for your purchases with us that exceed $5,000.00. This service is available to our US and Canadian customers. Our sales staff is experienced with placing your application with the finance company best suited for your company and the specific request. We respect your privacy, and will not share this information with any persons or organizations without your permission. Please refer to our Privacy Policy for a complete disclosure of how we may use the personal information we collect from you. If you would like us to assist you in an effort to obtain financing, please fill out and submit the form below, fill out the printable PDF application, or contact our sales department.

Step 1 of 2

APPLICANT
(Complete name of legal entity. If a corporation, use EXACT registered corporate name.)
Company
DBA
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person
- Mr.
- Mrs.
- Ms.
Title
Email
Phone
Fax
Number of Employees
Number of Years at Address
Amount of Credit Requested
FEIN #
Date Company Began
MM slash DD slash YYYY
Annual Sales
Has the company or it’s principals ever taken bankruptcy?
If yes, explain:
Nature of Business
Type of Business
- Proprietorship
- Partnership
- Corporation
PERSONAL INFORMATION ON OFFICERS, PARTNERS, OR GUARANTOR
Name
Title
% Ownership
Social Security Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Name
Title
% Ownership
Social Security Number
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
TRADE REFERENCES – TWO YEAR HISTORY
Name of Supplier
City/State
Phone
Fax
Contact Person
Email
Type of Account
Name of Supplier
City/State
Phone
Fax
Contact Person
Email
Type of Account
Name of Supplier
City/State
Phone
Fax
Contact Person
Email
Type of Account
COMPANY BANK REFERENCES – TWO YEAR HISTORY
Name of Bank/Branch
Checking Account Number
Other Account Number
Phone
Fax
Contact Officer
Name of Bank/Branch
Checking Account Number
Other Account Number
Phone
Fax
Contact Officer
Applicant(s) authorizes the release of any credit information concerning applicant including credit reports, loan, lease, checking, saving & trade accounts to StraightLine HDD, Inc., and / or any of its assigns. Applicant(s) warrants that the information stated above is true & correct. Authorization is granted to use photo or fax copies of this application and applicant’s signature thereon to obtain credit information. Applicant(s) agrees to pay any collection costs incurred to collect any unpaid balances, including interest on the unpaid balance as allowed by law and additionally any reasonable attorney’s fees or collection costs incurred.

FINANCING YOUR HORIZONTAL DIRECTIONAL DRILLING EQUIPMENT

FINANCING APPLICATION

Step 1 of 2

APPLICANT

PERSONAL INFORMATION ON OFFICERS, PARTNERS, OR GUARANTOR

TRADE REFERENCES – TWO YEAR HISTORY

COMPANY BANK REFERENCES – TWO YEAR HISTORY

Personal Guarantee