Become a healthy vending location

Finance Application


Credit Request

Credit Score - 700 or above: Yes   No

Amount of Credit Requested: $0 - $5,000   $5,000 - $25,000   $25,000+

Business Information:

Current Finance Customer:  Current Customer   Past Customer   New Customer

Type of Business:  Individual   Proprietorship   Corporation   Other

Years in Vending:  Not in Vending   New Vendor   1-2 Years   3-4 Years   5+ Years

Personal Information:

Loan Information:

Owner Authorized Signer #1: 

Owner Authorized Signer #2: 

Credit Information:

Home Owner: Yes   No

Years at Current Address: 

Nearest Relative Not Living with Customer: 

Employment Information:

Are You Employed Outside of Vending? Yes   No

Employer 1:

Employer 2:

Trade References:
Reference 1:


Reference 2:


Reference 3:

Important Notice
For purchases over $25,000 will require the submittal of, 1) Last year's tax returns and/or 2) Current year to date Profit and Loss Statement.Please review the Credit Report and Finance Application Submission Policies, as well as the Terms and Condition of Use and Privacy Policy regarding the information that you provide to us.

I Accept Terms of Service and Policies: