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MidAmerica Imaging Technology                    812-929-7995
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Welcome to the growing family of MidAmerica Imaging Technology customers.  Please either email the required information below to patl@phaserpages.com or call 812-929-7995 and we'll start on your order immediately.
 
Contact Name
Contact Phone & extension
Contact email
Company Full Legal Name
Company Address
City, State, Zip
 
Model and quantity ordered.
 
We will fill out the credit application and email or FAX to you for your approval.  We will call before doing this to verify all entries and to answer any questions.
 
Should you desire to prepare the credit application in house click here for your application.
 
Thank you for your order.  Please let us know immediately during this process if you have any questions or comments on our procedures.  Leasing equipment creates a long term relationship between supplier and customer.  It's our goal to make our new relationship as pleasant as possible.
 
Again, thank you for selecting MidAmerica Imaging Technologies.
638 S. Maple            French Lick, IN. 47432                      Office 812-936-3933                   Fax 812-936-3932