TriQuest Capital L.L.C

Release

Applicant represents that this equipment is being leased for business and/or professional purposes and agrees that under no circumstances shall this lease be construed as a consumer contract. The undersigned applies for the lease indicated in this application. Everything stated in this application is correct. TriQuest Capital may retain the application whether or not the lease is approved. TriQuest Capital and its authorized affiliates are authorized to check my credit and employment history for the purposes of determining my creditworthiness at the time of my application or thereafter in connection with the same transaction or extension of credit and for the further purpose of reviewing the account, taking collection activity on the account and skip tracing. TriQuest Capital and its authorized affiliates are authorized to provide history information to others about my credit standing and your experience with me, including but not limited to credit bureaus, other companies, outside collection agencies, and outside attorneys.