New Dealer Application

The information contained in this statement is provided for the purpose of establishing a credit referral relationship with Aqua Finance, Inc. (hereinafter referred to as AFI) on behalf of the dealer. The dealer understands that AFI is relying on the information provided herein in deciding to grant or continue credit to customers of the dealer who are seeking credit from AFI. The dealer represents and warrants that the information provided is true and complete and that AFI may consider these statements as continuing to be true and correct until a written notice of change is given to AFI by the dealer. AFI is authorized to make all inquiries it deems necessary to verify the accuracy of the statements made herein, and to determine the dealer’s credit worthiness. By submitting this application the dealer grants permission to those to whom inquiry is made to provide all information requested by AFI. AFI is authorized to release information about its experiences with the dealer.

By checking this box, I confirm that I have read and agree to the terms of the Master Account Information Form above. I understand that this is an electronic transaction subject to the Wisconsin Uniform Electronic Transactions Act (UETA) and that my electronic signature is binding. I agree that my electronic signature has the legal effect of a written signature, pursuant to the Wisconsin UETA which governs the terms of the contract and the parties intent to be bound by those terms. I also certify that I am the owner of the company applying and that I am authorized to initiate this transaction.