Apply for Funding

Quick application — most merchants finish in under 4 minutes. Your information is sent directly to your funding rep and is used only to evaluate your request.

1. Business Information

Legal Business Name *

DBA (if any)

EIN

Industry

Entity Type

Business Start Date

Business Phone

Business Email

Business Address

City

State

ZIP

2. Owner Information

First Name *

Last Name *

Title

Ownership %

SSN

Encrypted in transit. Used for credit pull authorization only.

Date of Birth

Email *

Mobile Phone

Home Address

City

State

ZIP

Second Owner (20%-49%) (optional)

3. Funding Request

Requested Amount ($) *

Use of Funds

Avg Monthly Revenue ($)

Avg Monthly Bank Deposits ($)

Existing Advances / Loans?

Total Existing Balance ($)

Additional Notes