bootstrap website templates

ALPHA QUANTIX EQUIPMENT FINANCE

ONLINE CREDIT APPLICATION


Business Information

Business Bank Reference

Business Credit Reference

Ownership/Guarantor Information

Equipment Information

By clicking "I Agree" below, I acknowledge that I am a principal of the business credit applicant and/or a personal guarantor of its obligations, and I am authorized to and providing instruction to Alpha Quantix and its designees/assignees to obtain and review the business credit profile and my personal credit profile from a national credit bureau. This authorization extends to obtaining a credit profile for consideration of this credit application and initial extention of credit as well as for the purposes of subsequent update(s), renewal(s) and extension(s) of credit and for review or collection on any resulting account(s). I also authorize release of all bank information for both personal and corporate/entity accounts in writing, by data (e.g., email, facsimile, etc.) and by phone. Images, copies and data of this authorization shall be valid as the original.

Submitted and signed: Primary Owner/Guarantor (as indicated above)

Address

P.O. Box 7944 
Newport Beach, CA 92658

Contacts

Email: info@alphaquantix.com
Phone: 877-QUANTIX
Fax: 877-489-6632