Application-CSC - Hampton Ridge Financial

Church/House of Worship Information

Organization Name*

Phone Number*

Federal Tax ID Number (EIN):

Physical Address*

Street Address (No P.O. Box) City State ZIP Code

Email*

Enter Email Confirm Email

Sales Tax Exemption Status*

Number of years in existence*

Is your organization part of a Major Denomination?*

If yes, which one?*

Website Address

www.yourwebsite.com

Pastor, Member, and/or Guarantor Information

How many guarantors?*

Guarantor #1 (first and last name)*

First Last

Title*

Pastor, Member, CFO, etc.

Home Address*

Street Address City State ZIP Code

Social Security Number*

*Soft credit inquiry only

Date of Birth*

Mobile Phone*

Email*

Enter Email Confirm Email

Guarantor #2 (first and last name)*

First Last

Title*

Pastor, Member, CFO, etc.

Home Address*

Street Address City State ZIP Code

Social Security Number*

*Soft credit inquiry only

Date of Birth*

Mobile Phone*

Email*

Enter Email Confirm Email

Guarantor #3 (first and last name)*

First Last

Title*

Pastor, Member, CFO, etc.

Home Address*

Street Address City State ZIP Code

Social Security Number*

*Soft credit inquiry only

Date of Birth*

Mobile Phone*

Email*

Enter Email Confirm Email

Guarantor #4 (first and last name)*

First Last

Title*

Pastor, Member, CFO, etc.

Home Address*

Street Address City State ZIP Code

Social Security Number*

*Soft credit inquiry only

Date of Birth*

Mobile Phone*

Email*

Enter Email Confirm Email

Equipment Information

What are you purchasing?

Equipment Type*

Audio/Visual, Furniture, HVAC, Vehicles, etc.

Equipment Cost*

Vendor

Who are you buying from?

Time Frame*

Declaration

I have read and agree to the Terms & Conditions

House of Worship Credit Application

Church/House of Worship Information

Pastor, Member, and/or Guarantor Information

Equipment Information

Declaration

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