Vendor -profile by ves88494

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									POPULAR LEASING                                                                         Tel: 888 - 645 - 4015
10933 Crabapple Rd. suite 207                                                           Fax: 888 - 346 - 7654
Roswell, Ga. 30075                        VENDOR PROFILE
                                                                                        Date:______________

In order for Popular Leasing to better service your account as an approved vendor source, the following
information will be needed for our analysis.

                                                                                        (           )
Firm Name ( Complete Name)                                                              Telephone Number
                                                                                        (           )
Street Address                                 State & Zip                              Fax Number


Year Business Started                          Federal ID No.                                   ____ Proprietorship
                                                                                                ____ Corporation
Principal market/Product sold                  Contact person                                   ____ Partnership
                                               ___________________________
Banking Information:                           E-Mail Address
                                                                          (    )
Primary Bank                                   Account Officer            Telephone Number

Checking Account No.                           Loan Account No.

Owners/Principals Information:
1
Full Name                         Title                      Social Security No: or Dunns No:


Owner's Address
2
Full Name                         Title                      Social Security No: or Dunns No:


Owner's Address
Who manufacturers or supplies the Product(s) you sell?

1                                                                                       (           )
 Name                                          Contact Person                           Telephone Number


Address                           City/State                                            Type of Product
2                                                                                       (       )
Name                                           Contact person                           Telephone Number


Address                           City/State                                            Type of Product


Vendor Profile Questionaire:
 Do you maintain service Facilities? ______________ Estimated Annual Sales?                         $_____________
 If not, how is equipment serviced? ______________ Average transaction size?                        $ _____________


I/we hereby authorize Popular Leasing to obtain business, as well as personal information regarding
my/our credit history via banks,trades,credit reporting companies and other extenders of credit in order
to determine and establish a vendor relationship.

Authorizing Signature:_____________________________________________ Date: _______________

Authorizing Signature: _____________________________________________ Date: _______________

								
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