Financing Available – Whirl-A-Wish

Start your financing quickly and securely with Whirl-A-Wish®

Company Name

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Years in Business

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Business Type

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Business Fax (include area code)

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Owner/Officer/Guarantor Information

Name

(Required)

First

Last

Title

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Social Security Number

(Required)

Percentage of Company Ownership

(Required)

Do Your Rent or Own Your Home?

(Required)

economic rent
ownAddress

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Street Address Address Line 2 City department of state ZIP Code

Phone

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Email

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Do You Have a Partner?

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Yes
No

Partner Information (if applicable)

First Name

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Last Name

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Title

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Social Security Number

(Required)

Percentage of Company Ownership

(Required)

Do Your Rent or Own Your Home?

(Required)

rend
ownAddress

(Required)

Street Address Address Line 2 City state ZIP Code

Phone

(Required)

Email

(Required)

About Your Lease

Brief Description of Equipment

(Required)

Briefly describe how the equipment will be used.

(Required)

Equipment Cost

(Required)

ONLINE VENDING MACHINE SALES & SERVICE, INC. DISCLAIMER – on-line vending MACHINE SALES & SERVICE, INC. is not a lender or provider of finance for the items it sells, however, Online Vending has relationships with equipment lenders, finance and leasing companies which are accessible through links to its web site or by direct referral by Online Vending. Online Vending is not a participant in the approval procedure for loans or leases obtained through 3rd party lenders, finance or leasing companies which it may recommend by referral or by providing entree to such companies through its web site and no representation made by Online Vending, its employees or agents is binding upon such 3rd party companies. The information you provide when inquiring approximately available financing is provided to 3rd party lenders, financing and leasing companies by Online Vending who will underwrite the request for finance and make the decisiveness whether or not to grant such finance. Any data you provide to Online Vending in connection with any financing referral or which is collected by Online Vending to assist in your financing application with 3rd party lenders or finance companies is governed by Online Vending Privacy Policy which is available at www.onlinevending.com. Please enter your Full name as your electronic signature. In accord with the Electronic Signatures in Global and National Commerce Act, by typing my name in the key signature box below I understand that it will be considered as legally valid and tie as a written signature. By my electronic key signature below I authorize on-line Vending Machine Sales & Service, Inc. to obtain a credit composition on me. Online Vending Machine Sales & Service, Inc. will provide the credit report to 3rd party lenders, financing or leasing companies to determine my eligibility for financing .Owner/Officer/Guarantor Signature

(Required)

Partner Signature

(Required)

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

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