Contact Information:
First Name
*
Last Name
*
Phone
*
Email
*
Legal Business Name
*
Address
City
*
State
*
Country
*
Country
United States
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Postal code
*
Website
Is privacy policy and terms of use published on your website?
Yes
No
I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
Partnership
Type of partnership are you interested in?
*
Lending Partner
Affiliate
Intelligent Lending
Other
Lender
2. What type of partnership are you interested in?*
*
Business Line of Credit
Accounts Receivable Line of Credit
Business Term Loan
Merchant Cash Advance
Business Credit Card
Equipment Financing
Commercial Real Estate
Invoice Factoring
SBA Loans
E-commerce
Other
Please attach a sales PDF or pitch deck for your company*
*
Affiliate
Where do you plan to advertise or promote?
*
Social
Email
Native
Display
SEM
Call center
Outdoor/Traditional
Other
Do you already have an established lead traffic source?
*
Yes
No
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How many businesses loan leads do you plan to generate each month?
*
1 - 10
11 - 20
21 - 50
51 - 100
100+
Please describe where you plan to place your affiliate link
*
Annual Revenue
*
Less than $5 Million
$5 - $100 Million
$100M - $1 Billion
Over $1 Billion
Other
1.1 Annual Revenue
*
Less than $5 Million
$5 - $100 Million
$100M - $1 Billion
Over $1 Billion
Anticipated Monthly Loan
1 - 10
11 - 20
21 - 50
51 - 100
100+