Full Name *

Email *

Phone Number *

City / ZIP *

Loan Purpose *

Select loan purpose

Purchase a Gas Station
Refinance Existing Loan
Expansion / Improvements
Cash-Out Refinance
Construction / New Build
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Monthly Gallons Pumped *

Select range

Less than 50,000
50,000 – 100,000
100,000 – 250,000
250,000 – 500,000
500,000+
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Estimated Loan Amount *

Select loan amount

Under $1M
$1M – $5M
$5M – $10M
$10M – $25M
$25M+
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Timeline *

Select timeline

0–3 months
3–6 months
6–12 months
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