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