Invoice Factoring Application This application will gather some information about you and your business. It generally takes less than 5 minutes to complete. There are no fees and no obligations to apply. Of course, any questions, at any time, simply contact us. We look forward to working with you! * All fields are required Unique IDPersonal InformationName* First Last Email* Phone*Job Title* Business InformationLegal business name* DBA (if different) Business phone*Business address* Business city* Business state*-- Select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioQuebecPrince Edward IslandSaskatchewanBusiness zip code* Legal entity type*-- Select --CorporationGeneral PartnershipLimited Liability CorporationLimited Liability PartnershipNon-ProfitSole ProprietorshipState of incorporation*-- Select --AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaNew BrunswickBritish ColumbiaManitobaNova ScotiaNewfoundland and LabradorOntarioPrince Edward IslandQuebecSaskatchewanWhen did you start the business?* MM slash DD slash YYYY Business tax ID* What products and/or services do you offer? Who are your customers?BusinessGovernmentBusiness & GovernmentGross monthly revenues*How long does it take for your customers to pay on average?*30 days or less60 days90 daysOver 90 daysWhat is your total outstanding Accounts Receivable balance?*When do you need Factoring set up for your company?ASAP30 days> 30 daysDo you currently have other short-term financings?*-- Select --YesNoLender name* Document UploadUpload a copy of your current Accounts Receivable report*Max. file size: 50 MB.Consent* By clicking “Submit”, you (i) consent to receiving calls and messages, including calls using an automatic telephone dialing system, from BorrowPartner and those acting on its behalf at the telephone number that you provided above (including your cellular phone number); (ii) agree that this consent applies even if the number that you provided is currently on any state, federal, or corporate Do-Not-Call registry; (iii) understand that you are not required to provide this consent as a condition of receiving any credit or services from BorrowPartner and that you may apply for business credit by contacting us directly; (iv) agree with BorrowPartner's Terms and Conditions and acknowledge that you have read BorrowPartner’s Privacy Policy; and (v) understand that you may opt out of receiving communications of your choice from BorrowPartner as provided in the Privacy Policy.Untitled
