Full Name

Email

Phone Number

Business Name

Business Location

Time in BusinessLess than 6 months6-12 months1 year2-3 years3-5 yearsMore than 5 years

Annual RevenueLess than $50,000$50,000 to $100,000$100,000 to $200,000$200,000 to $500,000$500,000 to $1,000,000$1,000,000 to $1,500,000$1,500,000 to $2,000,000More than $2,000,000

Type of Financing NeededStart-up FinancingReal Estate PurchaseEquipment FinancingFranchise PurchaseAcquire a businessExpansionWorking Capital

Amount NeededUnder $100,000$100,000 to $300,000$300,000 to $500,000$500,000 to $1MillionOver $1Million

Credit Score550 and below551 to 650651 to 700701 to 720Above 720