Xerox VersaLink B605YX Lease Application

Xerox VersaLink B605YX B/W Multifunction Printer, Print/Copy/Scan/Fax Letter/Legal, Up To 58ppm, 2-Sided Print, USB/Ethernet, 550-Sheet Tray, 150 Bypass Tray, 100-Sheet DADF, 320 GB Hard Disk Drive, 110V, EIP , Metered, TAA Compliant

* Indicates a required field.

Name*

First NameLast Name

Company Name*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email Address*

Phone Number*

Area CodePhone Number

Fax Number

Area CodePhone Number

Please select the Lease Term you are interested in:*

60 Month Lease @ $55.00 Per Month Plus Applicable Taxes48 Month Lease @ $65.00 Per Month Plus Applicable Taxes36 Month Lease @ $77.00 Per Month Plus Applicable Taxes

Please list any additional questions or comments here:

Lease Terms:
Fair Market Value Purchase Option
$0.00 Down
Lease Processing Fee ($75.00-$125.00 depending on the lease company and will be listed on your first monthly invoice) Subject To Credit Approval

You will receive a response within 24-48 hours. If you have any additional questions please feel free to contact us at 1.866.710.2679 or info@4theoffice.net

Thank you for the opportunity.

By submitting this form, you agree to and release the above information to 4 The Office and their Leasing Partners for credit approval and or review purposes only. This acceptance in no way guarantees that you will be approved. I/we agree that all information provided is true and that I/we fully understand the terms and conditions within this document.