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Application Form


To find out whether you are eligible for financing, please complete the application form and forward it to Amerifund. Upon receipt we will conduct a thorough review of your application and contact you.

To complete the form, please choose one of the three following options:

  1. Click here to complete the full form online using our secure, online form


  2. Click here for our printer friendly form


    • If you choose to print out the form, then:

      Fax the completed form to: 800-211-3072, or

      Mail the completed form to:
      Amerifund, Inc.
      9019 E. Bahia Dr., # 100
      Scottsdale, AZ  85260





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