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Name
*
Phone
Email
*
Company
Subject
*
Business structure?
Sole
LLC
Partnership or other
Amount needed?
Less than $100,000
Between $100,000 and $1,000,000
More than $1M
Funding purpose?
Expansion
Payroll
Inventory
Equipment Purchase
Real Estate
Debt / Taxes / BK
Other
Annual sales?
Less than $100,000
$100,000 - $500,000
$500,000 or more
Industry
Agriculture
Apparel
Automotive
Construction
Consulting
Consumer products
Distribution
Food
Freight broker
Government service
Healthcare
Hospitality
Import & Export
Information technology
Janitorial services
Manufacturing
Marketing
Security guard
Staffing
Telecommunications
Trucking & Freight
Other
B2B or B2G
Yes
No
Both
Providing products or services?
Services
Products
Both
Years business operating?
Less than 2 years
More than 2 years
Funding needed by?
ASAP
2 Weeks
1 month or more
Submit