Vendor Online Application Welcome to our online vendor finance application. Please input your information and click send. If you have any questions please contact our finance representative Ron at (949) 502-5905 Main Contact First Name Last Name Your Email Phone Number Company Details Company Name Street Address City State Zip Code Company Phone Number Years in Business SoleCorporationPartnership Principal Owner Details Principal 1 First Name Last Name Address City State Zip Ownership % Principal 2 First Name Last Name Address City State Zip Ownership % Delivery of this application bearing a facsimile signature(s) shall have the same force and effect as if the application bore an inked original signature(s). The applicant certifies that all information provided is true, correct and complete and that the account will be used solely for business or commercial purposes. The applicant, owner(s) and guarantor (if any) authorize Fidelity Capital or its designee(s) or assignee(s) on the behalf of Generator Services Co., Inc. to obtain any information it may request from any business or consumer reporting agency(ies) or other sources that provide credit reports, account history information, credit and employment history or similar information; such authorization shall extend to update renewal of credit and for reviewing or collecting the account. The applicant acknowledges that, based upon such information and other factors which may apply, Fidelity Capital or its assignee(s) or designee(s), in their sole discretion, may either grant or decline to grant credit. By submitting this application, I also wish to continue to receive updates from Fidelity Capital regarding our account. Information should be sent to the fax and/or email address given for the account.