Form - BusinessUp100

How much funding do you need?

No pressure – just a rough estimate to get started.

Less than $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $250,000 $250,000 - $500,000 $500,000 - $1,000,000 More than $1,000,000 Not sure / Help me decide

How soon do you need the funds?

Immediately Within 30 days Within 60 days Within 90 days Flexible / Other

What will you use the funds for?

Working capital Equipment purchase Inventory Expansion Payroll Business acquisition Renovation / Office improvements Start a business Other

How is your business structured?

Sole Proprietorship Partnership LLC Corporation (C Corp / S Corp) I’m not sure

How long have you been in business?

Less than 1 year 1 - 2 years 3 - 4 years 5 - 10 years Over 10 years

What is your average monthly revenue?

Less than $10,000 $10,000 - $25,000 $25,000 - $50,000 $50,000 - $100,000 $100,000 - $350,000 $350,000 - $500,000 $500,000 - $1,000,000 Over $1,000,000 Not generating revenue yet

What’s your credit score?

720 or higher 680 – 719 640 – 679 Below 640 I’m not sure

What industry are you in?

What is your business name?

Business Name

What is your business ZIP code?

ZIP Code

When did you start your business?

Month

Year

Do you currently have any business or personal loans?

Yes - Business Loans Yes - Personal Loans Yes - Other No

What’s your full name?

First name

Last name

Best phone number to reach you?

Last step – where should we send your results?

Contact phone number

What’s your email address?

Email Address

Final Step – Submit Your Form.
No Credit Check.

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You’re All Set

Your information has been successfully submitted

A lending expert will review your request and reach out to you shortly to discuss your options. You can expect a call or email within the next 24 hours.

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