Intake form

Help us serve you better

Name *

Email address *

What type of business do you operate?

What is your business's location?

What is your preferred loan amount?

What is your business's annual revenue?

How long have you been in business?

What specific funding purpose do you have in mind?

Have you previously received a loan for your business?

What is your estimated credit score?

What challenges are you currently facing in securing funding?

How did you hear about us?

Please select at least one option.

Referral

Social Media

Online Search

Community Event

Additional questions or comments

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