Thank you for allowing Alpine Financial Group LLC to provide your company with financing for your business equipment needs. Please fill out the information requested below. You will be contacted by Alpine Financial Group, LLC as soon as a credit decision has been made.

Equipment and Vendor Information

Ownership Information 1- Required

By checking the below box, each undersigned individual(s), who is either a principal of the credit applicant listed above or a personal guarantor of its obligations, provides written instruction to Alpine Financial Group, LLC or its designee (and any assignee or potential assignee thereof) authorizing review of his or her personal credit profile from a national credit bureau. Such authorization shall extend to obtaining a credit profile in considering the application of the credit applicant and subsequently for the purpose of update, renewal or extension of such credit and for reviewing or collecting the resulting account. Applicant also agrees to allow email or text notifications and updates. A photostatic or facsimile copy of this authorization shall be as valid as the original.