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Advanced Ergonomics @ Internet Prices

Take advantage of the tax and cash flow benefits of leasing. Leases available from $5,000 to $150,000 for Office Organix purchases.

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This is a secure site. Complete and submit the following confidential application today for a fast credit review. If you prefer, print out and fax your application to 401-821-0111. Questions? Call: 800-569-9236 or email: sales@officeorganix.com

Quick-Lease Credit Form

Please tell us who is completing this form:

I. Office Organix quote number or list items and quantity desired for lease:

II. Business name/Lessee:
Street address:
City, State, Zip:
Phone:
Fax:
Location of furniture if other than above. Provide the time in business at each additional location.

Check one: Corporation: Partnership: Proprietor.

III. Type of business:
Age of business:
Federal ID#:

IV. Principal or officer #1:
Title:
Percentage of ownership:
Social Security#:
Home address:

Principal or officer #2:
Title:
Percentage of ownership:
Social Security#:
Home address:

V. Business checking account/Branch:
Date opened:
Account No.:
Phone #:
Contact officer:

FOR VOICE ASSISTANCE
Please call: 1-800-569-9236

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Office Organix TM
Phone: 800-569-9236  Phone: 401-294-2944
Fax: 401-294-0000

E-Mail: Office Organix
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Products and prices subject to change without notice.