Merchant Cash Advance

Cash Bonus Claim Form

To be eligible for the cash bonus, the following criteria applies:

You must submit your application by November 25^th, 2008
Your advance was funded and your processing switched by December 31^st, 2008
This claim form must be completed in its entirety by January 16^th, 2009

Claim Rebate Form

Claim Date:

Contact Name:

Company Name:

Company Address:

Company City, State, Zip:

Phone Number:

Fax Number:

Email Address:

Security Number:
Enter security number as shown above:

Our exclusive guarantee entitles you to the best equipment lease... period.

Members of:
United Association of Equipment Leasing
Equipment Leasing and Financing Association