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Email Address:
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Legal Name Of The Organisation:
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(This will be the entity that will be the Credit)
Legal Address:
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Total Amount to be Financed:
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Currency:
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Please, choose...
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Finance Term:
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12 months
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Finance Start Date:
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(i.e. anticipated deal close date)
Bill of Materials Involved / Detail of Assets and/or Services Financed:
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Repayment Type:
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Contact Details:
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Any Other Deal Specific Requirements:
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Ingram Micro Representative Contact Information:
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Reseller / Integrator Representative Contact Information:
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