CPI – Point of Loan Origination (POLO) Application2018-08-13T20:38:17+00:00

CPI – Point of Loan Origination (POLO) Application

Finance company*:

Address*:

City*:

State/Province:

Zip code*:

Dealer name (if different than above):

Address*:

City*:

State/Province:

Zip code*:

Office phone*:

Office fax*:

Contact person's name*:

Contact phone*:

Contact email:

Average number of new BHPH deals per month*:

Current number of BHPH notes*:

Average ACV at the time of sale*:

Average loan amount*:

Average number of repos per month*:

Enter full name of submitter*:

Date:

How did you hear about us?
Agent ReferralConventionsInternet SearchEmailLetter/MailerOther (specify below)

If through an agent, which one?

If through a convention, which show?

Or, where else did you hear about us from?