Vendor Finance Program Profile

Vendor Finance Program Profile

Thank you for your interest in Great American Capital Group. We want to work with you to create a successful 100% financing program to make it fast and simple for your customers to acquire your products and services.

Our first step is to better understand your business. Please complete this simple and secure Vendor Profile so we can begin to develop a finance program to help you accelerate your sales and increase your profitability.

BUSINESS INFORMATION

Legal Business Name*

Federal Tax ID #

Physical Address of Business*

Street Address

Street Address Line 2

CityState

Zip Code & County

Business Phone Number*

Please enter a valid phone number.

Business Fax Number

Please enter a valid fax number.

Legal Structure of Business*

State of Incorporation / Organization of Business*

Nature of Business*

Briefly describe your business

Date Business Started*

FINANCE PROGRAM COORDINATOR INFORMATION

Name*

First NameLast Name

Title*

e-Mail Address*

example@example.com

Phone Number

Please enter your direct phone number if different from above.

SALES, PRODUCT AND VOLUME INFORMATION

# of Sales Offices

# of Sales Representatives

Annual Sales

Annual Financing Volume

Percentage of total sales (estimate)

Est. # of Finance Trans. Per Month

Equipment / Product Types

List of equipment and products/services sold

Avg. Transaction Size

Typical Product Price Ranges

New / Used / Refurbished Product?

NEWUSEDREFURBISHED

Do you offer financing on all Proposals?

Authorized Distributor for?

If not applicable respond "N/A"

Current Distribution Channels?

Please verify that you are human*