What’s your average monthly revenue? *

Under $20k

$20k–$30k

$30k–$50k

$50k–$100k

$100k+

When was your business established? *

Less than 12 months

12–24 months

2–5 years

5+ years

What’s the main goal for securing funding? *

Cash flow / MCA

Expansion

Inventory

Marketing

Payroll

What’s your preferred funding timeframe? *

24–48 hours

3–7 days

About 1 week

What amount of funding are you looking for? *

What best describes your business sector? *

Retail

Restaurant

Construction

Professional Services

Healthcare

E-commerce

Transportation

Other

Which range best reflects the owner’s credit score? *

580 or Below

580–629

630–679

680–719

720+

Not Sure

Are there any active loans or cash advances tied to your business? *

Yes

No

How much does your business typically keep on hand each month? *

Under $5k

$5k–$10k

$10k–$25k

$25k+

Does your business process credit card transactions? *

Yes

No

How much revenue do you generate monthly from credit card sales?

Under $5k

$5k–$20k

$20k–$50k

$50k+

What is the size of your workforce? *

1–5

6–20

21–50

51+

Can you provide recent financials or tax returns if needed? *

Yes

No

Have you ever defaulted on a business or personal loan payment in the past 7 years?

Yes

NO

Full Name *

Business name *

Email *

Business Address *

Phone *

ZIP code *

I agree/I decline *

Yes

No

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