What type of loan are you looking for? *

• Equipment Financing
• Working Capital
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What is your estimated credit score? *

• Under 600
• 601 to 619
• 620 - 649
• Over 650
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Have you been in business for at least 6 months? *

• Yes
• No
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How much does your business need? *

• Under $10,000
• $10,000 - $15,000
• $15,000 - 24,999
• $25,000 - $50,000
• $50,000 - $100,000
• Over $100,000
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Over the past 3 months, have you averaged $20,000 in monthly deposits and a $15,000 ending balance? *

• Yes
• No
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How long have you been in business? *

• Less than 12 months
• 12 to 24 months
• Over 2 years
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What is your estimated credit score? *

• <500
• 500-559
• 600-649
• 650+
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How much funding does your business need? *

• Under $10,000
• $10,000 - $25,000
• $25,000 - $50,000
• Over $50,000
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Full Name *

Company Name *

Email *

Phone *

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