Vendor Profile | Advantage+ Financing

Business Information

Business Name*

Business Phone Number*

Business Owner's Name*

First Last

Business Owner's Phone Number*

Business Owner's Email Address*

Company Mailing Address*

Street Address City State ZIP Code

Time in Business*

State of Incorporation*

State

Date of Incorporation

MM/DD/YYYY

Type of Business*

Please select one

Sole Proprietorship
Partnership
Corporation
Other

Federal Tax ID*

Type N/A if it does not apply

Company Website

Company/General Contact Email Address

Type of Equipment Sold

Other Financing Companies Used

Type N/A if it does not apply

Equipment Cost Range

Annual Sales

< $500,000
$500,000 - $1,000,000
$1,000,000 - $5,000,000
> $5,000,000

Payment Information

Advantage+ will provide a Purchase and Delivery Notice. This is not a Purchase Order. If required, PO' should be provided by the customer.

Our standard procedure is to remit payment after the equipment is delivered or installed. Do you require any deposit or payment before the equipment is delivered/installed?*

Yes
No

If yes, what percentage do you require?*

How do you prefer to be paid?*

Real Time Payment - where available (No Charge): A direct deposit, which arrives immediately after initiation.
ACH (No Charge): A direct deposit, which arrives at your bank 24-48 hours after initiation.
Wire Transfer (Fees May Apply): A direct deposit, which arrives at your bank the same day if received by 3:00pm CST.

ACH Routing Number*

ACH Account Number*

Wire Routing Number*

*NOTE: Please confirm the wire routing number with your bank. Many banks have a different routing number for wires vs. ACH/checks.

Wire Account Number*

Name on Business Bank Account*

Bank Name*

Bank Mailing Address*

Street Address City State / Province / Region

All of the information provided above is true and accurate*

I agree

Comments

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