Business Capital Short Application Please Submit the Short No-Credit Check Form Below to find out if your qualify. If you have any questions, please call 1(877)756-1119 or email to email@example.com (Business Loans & Lines of Credit are not available in all provinces a/o states.)What type of loan are you seeking?*What type of loan are you seeking? *Merchant Cash AdvanceStandard Business LoanOperating Line of CreditInvoice/Accounts Receivable FactoringBusiness Name:*Business Website:What is the Business Industry?*Time in Business:*Primary Contact’s Name: (First / Last)*Primary Contact's E-mail:* Primary Contact's Cell Phone Number:Primary Contact's Ownership Percentage:*Where is the Business Located? (City / State / Province)*What is the Yearly Gross Sales?($)*Estimated accounts receivable due to your business?($)*How Much Capital is Required?($)*Additional Comments:Note: Please be advised that completion of this form does not grant us authorization to pull a credit inquiry. A formal application will be sent out after determining that a loan is a possibility with us. Thank You.