Get Funding For Your Business! Please complete these questions and click the submit button. It only takes a couple of minutes. No obligations or hard credit pulls. First and Last Name*Email address:*Phone numberWhat is the name of your business?*What City and State are you located in?*Business Start Date (approximate)*What type of business do you have?*What products do you sell? What services do you provide?How many employees do you have?Why do you need funding?*Select all that apply. Inventory Receivables Buying equipment Help with debt Other (Please fill out the next box) If you selected "Other" for "Why do you need funding?" please explain here.How much funding do you need?*Give an estimate if you don’t have a precise value. Approximately, what is your monthly total income (revenue)?*Approximately, how much are your monthly business expenses?*Does your business accept credit cards?* Yes No Other If you answered "Yes" to the previous question: What percentage of your revenue is from credit cards?What payment system do you use? (POS, On-line, Basic Cash Register, App, etc.)*Do you currently have any business loans or debt?* Yes No If yes, how much do you currently owe?When/ how fast does your business need funding?* Immediately Less than 30 days 31 to 90 days Longer than 90 days If you get preliminary approval, would you be able to provide the following information?DBA* Yes No EIN* Yes No Legal Entity*(Type) Yes No Business owner's SSN and Date of Birth* Yes No Bank Statements*(3-6 months) Yes No Credit Card Statements*(3-6 months) Yes No If you answered "No" to any of the previous questions, please give us a brief summary of which items you could not provide and why.Is there anything else we should know about your financial needs? (Please write in box below.) Δ
