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There are 3 Easy Ways to Enroll to Become a Vendor Partner:
1. Enroll Online
To enroll online fill out the application below and click submit
2. Enroll by Phone
To apply by phone call 1-800-670-4785
3. Enroll by Fax
To apply by fax, please fax this form to 1-800-445-9108
Download Vendor Application
Company Information
Company Name:
Address:
City:
State:
Zip Code:
Your Name:
Title:
Phone Number:
Cell Number:
Fax Number:
Email Address:
*
Website:
Bank References
Bank Name:
Contact:
Phone:
Trade References
Trade Name:
Contact:
Phone:
Business Background
Business Type:
Time in Business:
Types of Products Sold:
# of Sales People:
# Resellers / Distributors:
Current Leasing Company:
Avg. Product Cost:
# of Sales / Mo:
How do you generate leads?
Sales
Force Resellers
Mailers / Catalog
Fax Campaigns
Cold Calls
eBay
Tradeshows
Trade Pub Advertising
How do you generate leads?
Are you currently working with a prospect where an affordable monthly payment for the purchase could help close the sale?
Yes
Not Right Now
Sales representative you were referred by:
*
Provide the company info on your prospect below and we can discuss the best options when we contact you.
Company Name:
Est. Deal Size:
Company Name:
Est. Deal Size:
Equipment Vendors
Vendor Benefits
Customer Benefits
Vendor Application
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