Vendor Application

To apply as a VENDOR please complete the APPLICATION below. We will confirm receipt, provide feedback and process your request right away. Additional documents may be required after review.

    Company Information

    Business Name*

    Doing Business As (DBA)

    Federal Tax ID #

    Time in Business (in months)

    Legal Type

    Resale Cert #

    Annual Sales Volume $

    If Prefunding Required Prior to Delivery, what %

    Projected Monthly Finance Volume $

    Main Address

    Contact Phone*

    Contact Email*

    Website

    Main Service or Product

    Do you sell NEW or USED equipment?

    Are you an Authorized Dealer?

    Owner Information

    Name

    % Ownership

    Home Address

    City

    State

    Zip

    Name

    % Ownership

    Home Address

    City

    State

    Zip

    Summary/Describe – the type of equipment you offer and end-user

    Applicant

    Title

    Date