Partner Profile

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Or Fill Out Form Below

Why do we ask for this?

We require specific information on file in order to do business together. That information is necessary in order to fund your business transactions.

Vendor Application
Seller Application
 
Please complete the Seller Application to begin the process of becoming an Authorized Seller in our network.
 
 
Kingswood Rep
 
 
 
 
 
Company Information
 
Full Legal Business Name*
 
 
 
DBA Name
 
 
 
Street Adress*
 
 
 
Address Line 2
 
 
 
City*
 
 
 
State*
 
 
 
Zip Code*
 
 
 
Business Email*
 
 
 
Business Phone Number*
 
 
 
Other Business Number
 
 
 
Business Type*
 
 
 
Federal Tax ID*
 
 
 
In Business Since*
 
 
 
Primary Contact First Name*
 
 
 
Primary Contact Last Name*
 
 
 
Email Address*
 
 
 
Equipment Type*
 
 
 
Annual Sales Volume*
 
 
 
Number of Locations
 
 
 
Number of Sales Staff
 
 
 
 
 
 
 
 
 
Principal/Owner Information
 
This information is often required for the evaluation of prefunding options when business credit has not been established.
 
 
Principal First Name
 
 
 
Principal Last Name
 
 
 
Title
 
 
 
Principal Social Security Number
 
 
 
Principal Email
 
 
 
Principal Mobile Phone
 
 
 
Principal Home Phone
 
 
 
Home Address
 
 
 
Home Address Line 2
 
 
 
Home City
 
 
 
Home State
 
 
 
Home Zip Code
 
 
 
 
 
 
 
 
 
Authorizations, Representations, and Warranties
 
Please review the statements below and click the "I Agree" checkbox to proceed.
 
 
 
I Agree*
 
 
I hereby authorize and consent to TimePayment Corp. dba Kingswood (herein 'Kingswood') and its affiliates, regarding both this application, along with any resulting Customer account application, to investigate and/or obtaining credit reports, employment history, trade references and other information - including information that would validate the authenticity of my company's bank account, which I may be providing to Kingswood for the purpose of Kingswood funding my company on approved equipment lease, equipment rental, software rental, monitoring service, or transactions.
 
 
 
 
 
 
 
By entering information below and submitting to TimePayment Corp. dba Kingswood (herein ‘Kingswood’), I expressly consent and authorize Kingswood and its affiliates, assigns and agents to share and use the entered information to contact me using any means of communication, including but not limited to, calls placed to my home, business or cellular telephone using an automatic dialer device, calls using prerecorded messages and/or SMS text messages, and emails regarding promotions, product offerings, and other marketing materials about Kingswood and our affiliates.
 
 
 
 
 
 
 
 
 
 

We would love to hear from you.