Apply for Business Funding
Please fill out the form below to begin your application.
Company / Client
Merchant DBA Name*
*
Legal Name*
*
The registered legal business name of the company
State*
*
Contacts
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First Name
*
Last Name
*
Email
*
Phone
*
Credit Score
*
Enter credit score between 300-850
Has Ownership
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Enter contact information for this lead.
Amount Requested
*
$
Enter amount requested in dollars
Time in Business
*
Select an option
Looking to acquire a business
Have not started the business yet
1-3 Months
4-12 Months
1-2 Years
3-4 Years
5+ Years
Industry
*
Select an option
Apparel
Auto - Repair
Auto - Sales
Aviation
Bar/Nightclub
Beauty/Salon/Spa
Call Center
Cannabis
Car Rental
Cell Phone Sales
Cleaning
Consulting
Construction
Contractor - Commercial
Contractor - Electrician
Contractor - General
Contractor - HVAC
Contractor - Landscaping
Contractor - Painting
Contractor - Paving
Contractor - Plumbing
Contractor - Roofing
Convenience Store
Courier Service
Drop Shipping/No Inventory
Day Care/Child Care
Design
Dry Cleaner
E-Commerce
Electronic Sales
Entertainment
Environmental Services
Equipment - Rental
Equipment - Sales
Equipment - Service/Repair
Farming/Agriculture
Financial Services
Fitness Center
Florist
Fuel Delivery
Home
Furniture Store
Gas Station
Grocery Store
Hotel
Import/Export
Insurance
Janitorial
Junk Yard
Legal Services/Law Firm
Liquor Store
Logging
Manufacturing
Marketing
Medical - Chiropractor
Medical - Dental
Medical - Home Healthcare
Medical - Optometrist
Medical - Plastic Surgeon
Medical - Primary Care
Medical - Psychotherapists
Medical - Spa
Medical - Training
Medical - Veterinarian
Non for Profit
Nursery
Pest Control
Pet Groomer
Pharmacy
Photography
Printing
Professional Services
Property Management
Real Estate
Religious Institute
Restaurant
Retail
School/Education
Security
Sign Language Interpretation
Staffing
Storage
Technology
Towing
Transportation
Travel
Waste Management
Wholesale/Distributor
Window Tinting
Other
Monthly Gross Revenue
*
Select an option
Less than $10,000
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 or more
Approximate monthly gross revenue for the business in USD
Purpose of Funding
*
Select an option
Expansion
Working Capital
Payroll
Purchase a Business
Purchase a Franchise
Equipment
Real Estate
Marketing
Buy Out a Partner
Start a Business
Finance Accounts Receivable
Other
Urgency
*
Select an option
Immediate
Within 30 Days
Just Browsing (future)
Unsure / None of the above
Initial Comment
Initial Comment (Optional)
Add an initial comment to the lead. Additional comments can be added after the lead is created.
Submit Application
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