Business Funding
Application

One simple page — most merchants finish in under 4 minutes. Your application goes straight to our funding desk.

Encrypted in transit No credit impact to apply Decisions in hours

1 Business

Legal business name *

EIN #

Business start date

Legal entity type

Average monthly revenue ($)

Company address

2 Owner

First name *

Last name *

Ownership %

SSN #

Date of birth

Cell number *

Email address *

Home address

Second owner? (20%–49% ownership — full name, or leave blank)

3 Funding request

Amount requested ($) *

Use of funds

Additional notes (optional)

4 Submit

🔒 Encrypted · goes straight to our funding desk

Application received!

Thanks! Your application is in. Our funding desk will review everything and reach out shortly — usually within one business hour.

Selective Capital · Secure & encrypted · selectivecap.com