Offer Your Customers More Ways to Pay.

Say hello to new customers.
Customer Financing (aka Buy Now, Pay Later) will enable you to offer your customers more ways to pay. Get started by completing this quick form - we'll send you an email with additional information and next steps!
Request Date

MonthDayYear
Product
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Lender
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How'd you hear about us? **
Referrer / Agent Name*
Referrer Company Name
if applicable
Referral Source
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BUSINESS INFO
Legal Business Name*
DBA
if applicable
Full Business Name
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Business Start Date **

MonthDayYear
Difference (Days)
Difference (Months)
Difference (Years)
Floor Difference (Years)
Month Sub
Time in Business
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Products / Services Sold*
In a few words, tell us about your products/services
Does the business have a website? If not, you may provide a Yelp, Google, or Facebook business page.
Having a web presence is a huge plus for business verification

FINANCIAL INFO
Annual Revenue*
Monthly Revenue
Heads up! This is a read-only field
Average Sale Amount*
Approx. High Sale Amount*
Do you currently offer financing? **
Annual Financed Amount*
Which financing companies do you currently work with, or previously worked with?

Say hello to new customers.