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To apply for financing please download our application form and mail, email or fax to our Sales Department.

Or fill out our application form below and submit. Questions? Contact Us here.

Financing Application Form

Applicant Information

Legal Business Name

Trade Name

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Person

Federal ID#

Business Phone

(###)

###

####

Fax

(###)

###

####

Years In Business

Business Structure (Corp, LLC, Prop, etc.)

Personal Information of Officers/Partners/Owners

Name

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Title

Social Security Number

Home Phone Number

(###)

###

####

Do you own any other businesses?

Name

First Name

Last Name

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Title

Social Security Number

Home Phone Number

(###)

###

####

Do you own any other businesses?

Vendor Information

Supplier Name

Equipment Description

Contact Name

First Name

Last Name

Phone Number

(###)

###

####

Estimated Equipment Cost

Physical Address of Equipment (If different than above)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Term of Request

24 mos

36 mos

48 mos

60 mos

Bank References

Bank Name

Account Number

Phone

(###)

###

####

Fax

(###)

###

####

Contact Person

First Name

Last Name

Bank Name

Account Number

Phone

(###)

###

####

Fax

(###)

###

####

Contact Person

First Name

Last Name

Bank Name

Account Number

Phone

(###)

###

####

Fax

(###)

###

####

Contact Person

First Name

Last Name

Release and Authorization

Authorized Person, Name/Title, Date.

ECOA Notice

If your application for business credit is denied, you have the right to a written statement for specific reasons for the denial. You understand that your request for business credit will be considered by Rize Capital. If your application for business credit is denied by Rize Capital, you may obtain the statement by written request to Credit Disclosure Administrator, P.O. Box 31 Manlius, NY 13104, phone 877-686-7493 within 60 days from the date you are notified of Rize Capital’s decision. The responding party will send you a written statement of reasons for the denial within 30 days of receiving your request for the statement. The federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants on the basis of race, color, religion, national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding contract); because all or part of the applicant’s income derives from any public assistance program; or because the applicant has in good faith exercised any right under the Consumer Credit Protection Act. The federal agency that administers compliance with this law concerning this creditor is the Federal Trade Commission, Equal Credit Opportunity, Washington, DC 20580.