Wholesale Tanning Equipment Catalog: American and European Tanning Wellness, Inc.

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Equipment/Vendor Information
Equipment Description	Equipment Location		Tentative Delivery Date

Equipment Type	Equipment Cost (excluding tax) $

Desired Term	End of Lease Option

Equipment Cost	Application Requirements
Up to $100,000	Completed Application
$100,001 and up	Completed Application Previous 3 (three) fiscal year-end audited financial statements or tax returns and interim financial statements
Customer Information
Business Legal Name *

Fed Tax ID	DBA (if any)

Street Address	City

Mailing Address	State	ZIP Code

Contact Name		Title

Phone	Fax	Email *

Date Business Started *		Date Business Incorporated

Sole Proprietorship	Partnership	Corporation	Limited Liability Company (LLC)	Other:
Business Checking	Account #	Business Loan		Type(s), Account #(s)

Bank Name		Bank Contact

Phone		Account Number

Principal Information
	(1)*		(2)
Principal Name(s) and Title(s)
Home Address
City/State/Zip
% of Ownership
Social Security Number
Principal Signature(s)
	signature	date	signature	date
Each individual signing as principal certifies that the information provided in this application is accurate and complete. Each individual signing as principal authorizes lender or any other lending sources to obtain information from the references listed above and obtain a consumer credit report that will be ongoing and relate not only to the evaluation and/or extension of the business credit requested, but also for purposes of reviewing the account, increasing the credit line, taking collection action on the account and for any other legitimate purpose associated with the account as needed. Each individual signing as principal further waives any right or claim which such individual would otherwise have under the Fair Credit Reporting Act in the absence of this continuing consent. Initial *
ECOA Notice (to be retained by applicant[s])
Thank you for your business credit application. We will review it carefully and get back to you promptly. If your application for business credit is denied, you have the right to a written statement of the specific reasons for that denial. To obtain that statement, please contact us within 60 days from the date that you were notified of our decision. We will send you a written statement of the reasons for the denial within 30 days of your request for the statement. NOTICE: 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, age (provided the applicant has the capacity to enter into a 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. The federal agency that administers our compliance with this law is the OCC, Customer Assistance Group, 1301 McKinney St. Ste. 3710, Houston, TX 77010 Initial *

Financing Application