Lease Application Form

Full Name*

Sex*

Tel01*

Tel02

Location*

Address*

Type Lease*

Motor Car

Lease Amount (USD)

NID or Passport (only PDF file)

Monthly payment calculation:

Product Price	$
Down Payment	0%
Installment payment	$
Installment Period	12 Months 24 Months 36 Months 48 Months 60 Months
Monthly Payment	$

* The calculation is just a sample, other condition apply.

Email: info@lodleasing.com

Address: Building 763 Room B (Ground Floor) , Street 153, Kamakor Village, Sangkat Svay Por, Battambang City, Battambang Province, Cambodia

Phone: 078 494 914 / 093 54 54 33 / 088 407 54 54

Working Time: Monday to Friday (7:30 am to 5:00 pm)