Vendor Profile | Advantage+ Financing

Business Information

Business Name*

Phone Number*

Fax Number

Type N/A if it does not apply.

Email*

Company Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Time in Business

State of incorporation

State / Province / Region

Date of Incorporation

MM/DD/YYYY

Type of Business

Sole Proprietorship
Partnership
Corporation
Other

Please select one

Fed. Tax ID

Type N/A if it does not apply

Owner

First Last

Best Contact Phone Number

Website Link

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?*

Approximately when is the equipment expected to be delivered/installed?*

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 account*

Bank name*

Bank address*

Street Address City State / Province / Region

All of the information provided above is true and accurate*

I agree

Number

Email

This field is for validation purposes and should be left unchanged.