Apply for Financing No obligation for applying. Instant credit decisions! Apply directly with Geneva Capital in the link below or fill out the form to explore the best financing options for you: Business Information Gabriel Costa Not yet assigned Sales Contact Business Name DBA "Doing Business As" is a name under which a corporation conducts business that is not the Legal name of the corporation as shown in its articles of incorporation. DBA Name Business Type Time in Business | ex: 5 years our 10 months Excellent Fair Poor No biz credit yet Business Credit Business Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Business Phone Comments Equipment Information Equipment Cost | ex: $1,000,000.00 New Used Equipment Condition Ship to Adress Address Ship to City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Ship To State Ship To Zip Code Has been filled in for you. 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Equipment Description Owner Information Name Email Address City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code Phone Annual Gross Income in US dollar Date of Birth Social Security Number/Itin Driver's License Primary ID Type Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Issuing State Expiration Date Credit Card Debit Card Secondary ID Type Visa MasterCard Amex Issuer Expiration Date Terms and Conditions All information submitted as part of your application for credit, together with any accompanying financial statements, schedules, or other materials, is submitted for the purpose of credit prequalification and is warranted to be true, correct, and complete. If applying for business credit, you acknowledge and affirm that one or more applicants identified is/are the business owner(s) and is/are personally liable for the business. You also warrant that by submitting this application for credit, any individual identified above who is either a principal, a personal guarantor or cosigner, or a sole proprietor of the credit applicant, recognizing that his or her individual credit history may be a factor in the evaluation of the application for credit, is authorizing inquiry into their credit worthiness, including but not limited to obtaining a consumer credit report, its assignees, agents, or nominees harmless from same. You understand that such investigation may include seeking information as to the background, credit, and financial responsibility of your business, its officers, principals, any personal guarantors or cosigners, and any corporate guarantors if applicable. 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, or age (provided the applicant has the capacity to enter into the 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. If for any reason your application for credit is denied, you have the right to a written statement of the specific reasons for the denial. To obtain the statement, please write to us at the following address within 60 days from the date you are notified of our decision and we will send you a written statement of reasons for the denial of credit within 30 days of receiving your request for the statement... If you received a separate decline notice from one of our underwriters, please contact them directly for specific information. You are consenting to receive communication from us and from or on behalf of our underwriters either via phone (including voice and text messages), in writing through postal mail, or via email. You consent that such communications may be generated by automatic dialer systems, pre-recorded voice messages, and automatically generated text messages or emails. For any calls or text messages, your cellular or mobile telephone provider may charge you according to the type of plan you carry and you are responsible for such charges. You also agree we may contact you at any email address(es) you have provided or may provide in the future or any phone number(s) you have provided or may provide in the future. You agree that we may record any phone calls between you and us for quality control purposes or our own legal protection. You agree that any such communication is not unsolicited for purposes of federal or state law. If you authorize a third party to communicate on your behalf with us, our agents, or our underwriters regarding your account with us, you agree and acknowledge that we may disclose information about your account to the third party. I accept the terms and conditions of this application. Added to your cart: ** total_quantity ** | ** unit_price ** / ** unit_measure ** (-) Cart subtotal