Join Our Vendor Partner Program - Application

The Money Source understands that in today's competitive economy, cultivating strategic partner relationships is crucial to long-term success. Your clients will have more purchasing power when you refer them to our resources-either online or via telephone. Yes, we still offer friendly, old-fashioned service, with no aggravating phone menus. Your clients can also receive the many benefits of leasing equipment you sell them.

Please fill out the application and we will contact you shortly:

Application for Financing (Note: Must have 2+ year business bank reference)
Email Address
Complete Legal Company Name
Contact Name
Years under Current Ownership
Telephone
Fax
Address
City
State
Zip
Type of Business	Corporation Partnership Proprietorship LLC Municipality Non Profit
Any Other Business Names Used
Federal ID Number
Partners/Owners (Those authorized to sign lease)
Name
Title
% Owned
Social Security
Name 2
Title
% Owned
Social Security
Has any Owner/Officer filed bankruptcy in the last 10 years?	Yes No
Bank References: (To support time in business, please list previous Bank/s, if applicable.)
Bank Name
Phone Number
Account Number
Bank Name
Phone Number
Account Number
Trade References:
Company Name
Phone Number
Company Name
Phone Number
Company Name
Phone Number
Eqipment to be leased:
Quantity
New? Used?	Age in years, if used:
Description
Price without Tax (in US Dollar)
Vendor Name
Contact
Vendor Phone Number
By submitting this form, authorization is hereby granted to all parties contacted to release credit information to The Money Source or its assigns.

Contact Us - Join Our Program