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Home
Services
Data Intelligence
Market Research
Menu + Base Pricing
Discovery Form
Portfolio
Market Research
The Journal
News
Contact
Strategy Session
Business Funding Pre-Qualifying
Please complete the form below. Referred by Adam Komoroski
Name
*
First Name
Last Name
Email
*
Phone
*
Company Name
*
Website
*
http://
Industry
*
Funding Type Needed
Equipment Financing
Working Capital
Startup Funds
Term Loan
Invoice Factoring
Payroll
Business Line of Credit
Credit Card Processing
Real Estate
Other
Funding Amount Requested
*
How many years in business?
*
Do you have a physical location?
*
(Not required by all lenders)
When do you need funding?
*
---
Immediate
30 Days
60 Days
90 Days +++
Country
*
Personal Credit Score
*
May not be required but needed for reference.
Business Credit Score
*
May not be required needed for reference.
Annual Revenue
*
$
Montlhy Avg Revenue
*
$
Funding Purpose + Additional Comments
Thank you!
