Equipment Service AgreementEquipment Service Agreement • June 9th, 2014
Contract Type FiledJune 9th, 2014MERCHANT/BUYER INFORMATION Business Name (Doing Business As) □✔ Sole□ Corporation□ LLC Name of Owner/Officer Corporate/Legal Name (as shown on your income tax return) Federal TAX ID (9 digits) Social Security Number (9 digits)- - Business Address Home Address City State Zip City State Zip Location Phone #( ) - Bank Name Home or Cell Phone #( ) - Driver License Routing Number (9 digits) Account Number e-mail Date of Birth (m/d/yy) Date Business Started Type of Business (Products) Monthly Volume$ Average Ticket$ High Ticket$