Dodson Industrial Capital — Equipment Finance Vendor Application

Dodson Industrial Capital — Equipment Finance Vendor Application

Complete the form below to become an approved vendor partner with Dodson Industrial Capital.
Business Information
Legal Business Name
DBA / Trade Name
Business Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
EIN / Federal Tax ID
DUNS Number
Business Type
Time in Business
Contact Information
Contact Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Website
Equipment Type
Financial Information
Annual Revenue
Monthly Revenue
Number of Employees
Ownership Information
Owner Full Name

First NameMiddle NameLast Name
Ownership %
Tax ID Number
Date of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Signature
Electronic Signature
Title
Date

MonthDayYear
Date
Should be Empty: