SCANNABAR - Liquor Inventory

We are very interested in serving you.

Contact's Full Name	*
Title
Organization
Street Address	*
Address (cont.)
City	*
State / Province	*
Zip / Postal Code	*
Country	*
Company Phone	*
Company Fax
Contact E-mail address	*
Company Web Site Address
Dunn's Number
How many bars do you operate in your establishment:

If this is a sole proprietorship, partnership or a business that is
less than five (5) years old we will need personal information on all principals:

First Name
Last Name
Middle Initial
Date of Birth
SS Number
Home Address
Apt/Unit
City
State
Zip/Postal Code
Country
Home Phone
# years at this address
If less than two (2)years:
Previous address
Prev. Apt/Unit
Prev City
Prev Zip/Postal code
Prev. Country
How many years with this company

Choose one of the following types of Leases:

This application is given for the purpose of obtaining credit. I/We grant permission to SCANNABAR, Inc. to obtain a personal credit report on all of the individuals that are listed above. I/We understand that individual credit histories may be a determining factor in the evaluation of this application.

This acknowledgement will act as a digital signature of authorization:

Please type full legal name: Date:

Thank you for your trust. SCANNABAR, Inc., its employees, its financial partners, vendors and agents are sworn to retain personal history and financial information as confidential. We will not divulge or transfer information to any other entity not directly involved with this funding of your lease. Your privacy is paramount to us in building integrity into our future relationships. We hold that relationship as our most precious asset.

Apply for Scannabar Leasing program

We are very interested in serving you.