Avanti Vending Machines
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 Avanti Vending
 Machines

Shipping points:

California

Texas

Iowa

New York

West Virginia 

  1-800-822-9686


 

 

Vending Machine Credit Application


 


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Please fill out the form below to apply for credit.  If you have any questions or comments, please contact us

 Name of Business
 Type of Business:
 Business Phone
 Fax
 Email Address
 Address
 City
 State
 Zip
 County
 Years in Business
 Fed ID#
 Owner Name
 Soc. Security
 Current residence
 Years at residence
 Home Address
 Home Phone
 Cell
 Pager
 Nearest Relative
 Relative Relation
 Relative Phone
 Primary Bank
 Primary Bank Account #
 Contact Name
 Phone
 Non Credit Card Business Reference
 Contact Name
 Phone
 Employer (If employed outside of vending)
 Position
 Salary $
 Phone
 Spouse's Employer
 Position
 Salary $
 Phone
 Payment Preference
 Authorization
 Position of Signer
 Agreed
 Date(MM/DD/YY)
   MM/DD/YYYY
  Please enter the types of machines and quantities you would like to finance: