Financing Application for U-Select-It

*

*

*

I would like to finance vending equipment… for my business location (direct-to-location) to expand my existing vending business (established vendor operator) to start a vending business (start-up vendor operator) Other

*

Which distributor you are working with? I am not working with a Distributor American Vending Sales Andre Labbee Inc Area Wide Electronics AVL Distributing B&R Distributors Betson Enterprises Brokerhouse Distributors Inc. Capital Provisions Greater America Distributing Kane’s Distributing LTD Langley Wholesale LTD LW-Washington Shaffer Distributing Smitty’s Souteastern Vending The Vending Center Inc Vencoa Vendors Source Vendtronics – Arizona Vital Vending

*

Have you financed with USI in the past? Y/N (select…) Yes No

*

*

*

*

Select… AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY

*

*

*

*

*

*

*

*