Please complete our simple financing application below, or download the file and
fax it back to us. We look forward to working with you.
EMAIL:
apply@cfgfinancial.com
FAX: 1-888-689-3041
We look forward to working with you.
DOWNLOAD
FINANCING APPLICATION FORM
capital funding |
| Account Representative: |
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| VENDOR INFORMATION |
Vendor Name:
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Vendor Address:
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City:
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State:
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Country:
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Zip:
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Contact Person:
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Telephone:
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| lessee company INFORMATION |
Company Name:
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*Email:
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Years in Business:
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Company Address:
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City:
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State:
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Country:
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Zip:
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Contact Person:
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Signer:
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Title:
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Telephone:
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Nature of Business:
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| Type of Business: |
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| personal information on officers, partners, or
guarantors |
Name:
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Title:
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Social Security Number:
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% of Ownership:
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Home Address:
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City:
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State:
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Zip:
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How Long?:
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Telephone:
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Name:
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Title:
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Social Security Number:
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% of Ownership:
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Home Address:
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City:
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State:
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Zip:
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How Long?:
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Telephone:
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| company references - two years |
Name of Bank Branch:
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How Long?
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Telephone:
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Contact Officer:
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Checking Account Number:
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Savings Account Number:
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Loan Account Number:
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| Trade references - two years |
Name of supplier:
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Contact:
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City:
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State:
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Telephone:
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Name of supplier:
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Contact:
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City:
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State:
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Telephone:
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By reading and accepting the following statement
you are acknowledging and in agreement with the paragraphs below.
Delivery of this application bearing a facsimile signature(s) shall have the
same force and effect as if the application bore an inked original
signature(s). The applicant certifies that all information provided is true,
correct and complete and that the account will be used solely for business or
commercial purposes. The applicant, owner(s) and guarantor (if any) authorize Capital
Funding Group or its designee(s) or assignee(s) to obtain any
information it may request from any business or consumer reporting agencies or
other sources that provide credit reports, account history information, credit
and employment history or similar information; such authorization shall extend
to update renewal of credit and for reviewing or collecting the account. The
applicant acknowledges that, based upon such information and other factors
which may apply, Capital Funding Group or its assignee(s) or
designee(s), in their sole discretion, may either grant or decline to grant
credit.
By submitting this application, I also wish to continue to receive updates from Capital
Funding Group regarding our account. Information should be sent to the
fax and/or email address given for the account.
I / We agree to the
above
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| *required field(s) |
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