Customer Information
 
Legal Name*
 
Franchise Store #*
 
DBA/Franchise*
 
 
DUNS/D&B #
 
Address*
 
 
Federal Tax ID #
 
City*
   
 
State*
 
Owner Name*
 
 
Zip*
 
 
Owner Cell
xxx-xxx-xxxx
 
 
Business Phone*
 
 
Owner Phone*
xxx-xxx-xxxx
 
 
Email*
 
 
Owner Fax
xxx-xxx-xxxx

Guarantor Information
(Please add a guarantor to ensure expedited processing)
Add a Guarantor
Equipment Information


Desccription Model Quantity Unit Cost Other Cost Total Cost Savings  
Description 0 Supplier   $0.00 $0.00 $0.00 Savings
Description 1 Supplier   $0.00 $0.00 $0.00 Savings
Description 2 Supplier   $0.00 $0.00 $0.00 Savings
Description 3 Supplier   $0.00 $0.00 $0.00 Savings
Description 4 Supplier   $0.00 $0.00 $0.00 Savings
Description 5 Supplier   $0.00 $0.00 $0.00 Savings
Description 6 Supplier   $0.00 $0.00 $0.00 Savings
Description 7 Supplier   $0.00 $0.00 $0.00 Savings
Description 8 Supplier   $0.00 $0.00 $0.00 Savings
Description 9 Supplier   $0.00 $0.00 $0.00 Savings
        Sales Tax:
+
55.55
   
        Total Price:    
No Equipment Added
Pricing
Financed Amount
 
Finance Type*
The request is outside of the promotional program and may be subject to current competitive market rates. Please submit the application and we will contact you to discuss your options.
Monthly Payment
Documents
Please upload your quote or invoice for the equipment being financed
Billing Information
Billing Info
 
Name*
 
Address*
 
City*
 
State*
 
 
Zip*
   
Comments
Comments
I certify that I have read and agree to the terms and conditions and certify that all personal and business information is true and correct. I understand that when clicking Submit Application button below this deems as an approved electronic authorization to process the credit information submitted. All information provided in this application are true and complete and are made for the purpose of obtaining credit. I authorize BTFG to share your application and related information with its lending partners in order to complete the processing of this application. You authorize BTFG and its lending partners to retain and rely on my application and to access my credit report in order to evaluate my credit application.