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Repair Application

Apply For Truck Repair Financing

Please complete and submit the following form or call us at (520) 760-3648.

First Name: *

Last Name:

Mobile Number:

Email:

Year/Make/Model of Truck Being Repaired:

Amount Requested:

Source:

Enter the above code (CAP Sensitive)*

Capital Solutions, Inc. 6890 E. Sunrise Dr. Suite 120 #482 Tucson, AZ 85750

Address

jasondasher@mac.com

Email

Phone: 520-760-3648
Fax: 520-844-6183

Telephone

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