Funding Lead Registration Form
BizSprits Partner Information
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Opportunity Information
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Opportunity Partner Information
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Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Funding Details
Type of Funding Needed
Acquisition Financing
Small Business Loan
Business Line of Credit
Equipment Financing
SBA Loan
Asset Based Lending
Accounts Receivable Financing
Merchant Cash Advance
Purchase Order Financing
Commercial Mortgage Financing
Doctor or Dental Practice Loans
Franchise Financing
CannaBusiness Financing
Other
$ Amount Being Requested
*
When is funding needed by?
-
Month
-
Day
Year
Date
Avg Monthly Revenue
*
Please Select
$1k - $4k
$5k - $9k
$10k - $29k
$30k - $74k
$75k - $149k
$150k - $249k
$250k - $499k
$500k - $999k
$1 Million Plus
Industry
*
Please Select
CPA
Apparel
Auto - Repair
Auto - Sales
Aviation
Bar/Nightclub
Beauty/Salon/Spa
Call Center
Cannabis
Car Rental
Cell Phone Sales
Cleaning
Consulting
Construction
Contractor - Commercial
Contractor - Electrician
Contractor - General
Contractor - HVAC
Contractor - Landscaping
Contractor - Painting
Contractor - Paving
Contractor - Plumbing
Contractor - Roofing
Convenience Store
Courier Service
Drop Shipping/No Inventory
Day Care/Child Care
Design
Dry Cleaner
E-commerce
Electronic Sales
Entertainment
Environmental Services
Equipment - Rental
Equipment - Sales
Equipment - Service/Repair
Farming/Agriculture
Financial Services
Fitness Center
Florist
Fuel Delivery
Funeral Home
Furniture Store
Gas Station
Grocery Store
Hotel
Import/Export
Insurance
Janitorial
Junk Yard
Legal Services/Law Firm
Liquor Store
Logging
Manufacturing
Marketing
Medical - Chiropractor
Medical - Dental
Medical - Home Healthcare
Medical - Optometrist
Medical - Plastic Surgeon
Medical - Primary Care
Medical - Spa
Medical - Training
Medical - Veterinarian
Non for Profit
Nursery
Pest Control
Pet Groomer
Pharmacy
Photography
Printing
Professional Services
Property Management
Real Estate
Religious Institute
Restaurant
Retail
School/Education
Security
Sign Language Interpretation
Staffing
Storage
Technology
Towing
Transportation
Travel
Waste Management
Wholesale/Distributor
Window Tinting
Time in Business
*
Please Select
1-3 Months
4-12 Months
1 Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 + Years
Notes
Documentation
Loans greater than $5M
A BizSprints team member will be in contact for the required documents.
Loans of $150,000 to $5M
Application for Lender
Latest Tax Returns - For the current business (if we can provide the two most recent, it helps but is not 100% necessary)
Previous Year + YTD Profit/Loss sheets
Previous Year + YTD Balance Sheets
3 - 6 months of business bank statements for current business (the more, the merrier)
Loans Under $150,000
Lender Application
3 - 6 months of business bank statements for current business (the more, the merrier)
SBA Documentation
Three years of Tax Returns - Personal + business - plus the second business if they are making an acquisition
Previous Year + YTD Profit/Loss sheets - plus the second business if they are making an acquisition
Previous Year + YTD Balance Sheets - plus the second business if they are doing an acquisition
Aging A/R + A/P reports - plus the second business if they are doing an acquisition + if applicable
Debt schedule
Six months of bank statements for both the current and the soon-to-be new business (if acquiring)
Link to Data Room
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