Business Financing ApplicationPlease fill in the spaces below and mail or fax us the application. By doing so, you are giving us, permission to review your business and personal credit history in order to provide you with formal approval.Business Legal Name (“Merchant”) *Business DBA Name *Address *Suite/Floor *City *Province *Phone *MobileWebsiteEmail Address *Date Business Started *GST / PST #Products/Services SoldLegal Entity *CorpSole PropLLCPartnershipMerchant TypeRetailRestaurantServiceInternetBusiness LocationStore FrontOfficeHomeOtherBusiness ReferencesTrade Reference 1NamePhone *Trade Reference 2NamePhoneTrade Reference 3NamePhoneLandlord/Mortgage Company Contact:NamePhoneBank ReferenceNamePhoneRent/Mortgage Payment:Owner/Principle InformationNameNameAddress:Address:City, Province, Postal Code:City, Province, Postal Code:PhonePhoneEmail AddressEmail Address% of Ownership:% of Ownership:Date of BirthDate of BirthSIN#:SIN#:Driver’s License #:Driver’s License #:Funding InformationAmount Requested:Average Visa/MasterCard Monthly Sales:Average Monthly Sales:Have you used a cash advance plan before?:YesNoIf ‘Yes’ list previous cash advance provider:Send Message
