Applying For Lease/Finance
Working Capital
Both

Step 3: Equipment Information
Equipment Description
Estimated Equipment Cost
Equipment Status
New
Used
Equipment Titled
Yes
No
Equipment Year
Working Capital Amount
Budgeted Monthly Payment
Time Frame
Preferred Term (months)
Initial Payment Available
Est. Initial Payment %
Reason for Equipment Acquisition
Comments
Please note that you will be able to upload any attachments you wish to include after the initial submission.
By checking this box, I agree with the Terms of Use and Privacy Policy.
Each party to this application agrees that Patron West may review his or her personal credit profile from a national credit bureau provider.

Thank you for submitting your application. We look forward to working with you. Please expect a sales executive to contact you shortly.
Lease Reference Number:
Working Capital Reference Number:
Attachments
- - Attachment 1
  - Attachment 1 Type
- - Attachment 2
  - Attachment 2 Type
- - Attachment 3
  - Attachment 3 Type
- - Attachment 4
  - Attachment 4 Type
- - Attachment 5
  - Attachment 5 Type
- - Attachment 6
  - Attachment 6 Type
- - Attachment 7
  - Attachment 7 Type
- - Attachment 8
  - Attachment 8 Type
- - Attachment 9
  - Attachment 9 Type
- - Attachment 10
  - Attachment 10 Type
- - Attachment 11
  - Attachment 11 Type
- - Attachment 12
  - Attachment 12 Type
- - Attachment 13
  - Attachment 13 Type
- - Attachment 14
  - Attachment 14 Type
- - Attachment 15
  - Attachment 15 Type
- - Attachment 16
  - Attachment 16 Type
- - Attachment 17
  - Attachment 17 Type
- - Attachment 18
  - Attachment 18 Type
- - Attachment 19
  - Attachment 19 Type
- - Attachment 20
  - Attachment 20 Type

For questions about financing, contact: Ryan Risling Phone: 888-435-4171 x225 Email: ryan@patronwest.com

For all other inquiries, contact: Rob Dumelie, Fixed Operations Director Phone: 780-573-7676 Email:

Step 1: Company Information

Step 2: Customer Information