1. What are your average monthly gross sales?

Choose your option Over $500K in Monthly Sales $350K to $500K $275K to $350K $200K to $275K $200K to $275K $125K to $200K $75K to $125K $25K to $75K

2. How long have you been in business?

Choose your option Less than 6 months 6 months to 12 months 1 to 2 years 2 to 4 years 4 to 6 years 7+ years

3. What is your estimated personal credit score?

Choose your option Below 579 580-669 670-739 740-799 800-850

4.How much funding are you looking for?

Choose your option $10,000 to $25,000 $25,000 to $50,000 $50,000 to $100,000 $100,000 to $150,000 $150,000 to $200,000 $200,000 to $300,000 $300,000 to $500,000 Over $500,000

5. What is the primary purpose of the funding?

Choose your option Cash Flow Increase Revolving Credit Line Property Expansion Marketing Inventory Raw Material Purchases Invoice Financing Equipment Leasing Pay Off Current Debt Liabilities

6. Have you ever defaulted on a cash advance loan?

Choose your option Yes No

Everything looks great so far, let's keep going!

7. What is your business' legal name?

8. What is your name?

10. What is your phone number?

11. Business address

12. When do you hope to access the funds?

Choose your option ASAP 1 week 2 weeks 3 weeks 4 weeks

13. When is the best time to call you?

Choose your option Morning Afternoon Evening Anytime