Vendor Information
Vendor Name:
Vendor Address:
City:
State:
Zip:
Phone:
Fax:

How did you hear of triconleasing.com?	Please Select One yahoo.com Choicemall Other Search Engine A Friend Just Surfing Other (if so, please list)
Other:

Business Structure
	Corporation		Partnership		Proprietorship

Contact Name:
Telephone #:
Business Type:
Fax #:
Federal ID #:
D & B #:
State Resale #:

Equipment Type:

New:
Used:
Other:

Invoice Ranges:
US Service Centers of Warranty:

Trade & Suppliers (list name, contact person, & phone #):
1.
2.
3.

Optional Data:
Bank Name:
Acct. #:
Contact:
Phone #:

I hereby certify that all statements contained in this vendor sheet are true and complete. I, as Vendor, personally certify, warrant and guarantee that all equipment sold within the guidelines of standard industry pricing. The undersigned gives Tricon and or its assigns full authority to investigate data contained herein.

Tricon Leasing Group, LTD., and/or its assigns would like to thank you for filling out the Vendor Information Sheet. All information given is strictly for our records and will remain private and confidential.