Welcome to our Vendor Partner Application. Please fill in all fields requested below for accuracy in processing your application. We will notify you immediately as to the status of your application. You may also download and print our application in Acrobat Reader format and fax it to us at toll free
1-888-297-7289.

Click Here To Download A Printable Application - Adobe Acrobat Format 

Vendor applications are processed Monday-Friday between the hours of 9:00AM-4:30PM.
Any application submited after processing hours will be processed on the next business day.

Thank you, and we look forward to serving your equipment financing needs.

(* Denotes Required Fields)
Applications Will Not Be Processed Unless All Required Fields Marked * Are Completed

Partner Information
Date:
Legal Business Name: *
DBA:
Business Address: *
Address 2:
City: *
State: *	Zip: *
Website:
Email: *
Phone: *
Fax:
Business Information
Type of Business: *	Corporation Proprietorship Partnership
Years In Business: *
Nature of Business: *
Fed ID#: *
State Tax ID#: *
Annual Sales Volume $: *
Annual Lease Volume $: *
Average Transaction Size $: *
If Business is less than 2 years old, the CEO/President Information must be completed to process.
Business Officers
CEO / President: *
Social Security: *
Home Address: *
Home City: *
Home State: *	Zip: *
Home Phone:
E-mail: *
Contact Name:
Title:
Home Address:
City:
State:	Zip:
Home Phone:
E-mail:
Banking Information
Bank Name: *
Phone Number: *
Account Number: *
Banking Officer: *
Account Type: *	Checking Savings Loan
References
Name: *
Phone: *
E-mail: *
Name: *
Phone: *
E-mail: *
Equipment Information
Type of Equipment: *
Primary Manufactures: *
Average Equipment Cost: *
Target market: *
By accepting below, I affirm my identity as a principal of the applicant. or a personal guarantor of its obligations, provides written instruction to EqLease or its assigns authorizing review of his/her personal credit bureau and authorizing applicant's bank and credit references to release credit information on applicant to EqLease and its assigns. Such authorization shall extend to obtaining a credit file in considering this application for reviewing or collecting the resulting account. A Photostat or Facsimile copy of this authorization shall be valid as the original. By accepting I affirm my identity as the individual identified in this application.