Finance Application – American Mortuary Coolers Powered by Funeral Source One Supply Company

Apply Here For Credit Financing With
American Mortuary Coolers & Equipment

Fill out the online form below or print out the pdf version (->) and fax to 800-987-2430 or email to cool@mymortuarycooler.com.

If you have any questions, click to chat below or call us at 1-888-792-9315.

Business Information

Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
This field is required
This field is required

Billing Address

Value is required
Value is required
Value is required
Value is required
Value is required

Equipment Address (if different than billing)

Value is required

1st Principal Owner's Information

(All fields required for all business structures except Municipal and Non-Profit)
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required

2nd Principal Owner's Information

(All fields required for all business structures except Municipal and Non-Profit)

Bank Reference

Equipment Information

Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required

Insurance Company

(that will insure above equipment)
INSURANCE IS REQUIRED ON ALL EQUIPMENT FINANCED

Terms & Conditions

The information provided in this application shall be kept confidential and will not be shared with anyone else.

Value is required
Value is required
Value is required
Value is required
Thank you!