Menture - 7 Day Offer Application

1
What best describes you?* This field is required.
I want to grow and scale my company
I want to secure up to $500,000 in working capital for growth
2
What is your biggest growth challenge right now? (please share more details)* This field is required.
Huge
Large
Normal
Small
Ok
Ok
3
What industry/sector do you operate in?* This field is required.
Please Select
Please Select
Agriculture
Forestry and Logging
Fishing and Aquaculture
Oil and Gas Extraction
Mining
Utilities
Construction
Manufacturing
Wholesale Trade
Retail Trade
E-commerce/Online Retail
Transportation and Logistics
Warehousing and Storage
Information Technology
Telecommunications
Financial Services
Insurance
Real Estate
Professional Services (Legal, Accounting, Consulting)
Educational Services
Healthcare Services
Social Assistance
Arts and Entertainment
Hospitality (Accommodation and Food Services)
Marketing Services
Software Development
IT Services
Management Consulting
Business Support Services
Scientific Research and Development
Advertising and Public Relations
Human Resources and Staffing
Media and Publishing
Environmental Services
Nonprofit Organizations
Public Administration
Other
4
What is your desired growth goal in the next 12 months? (insert desired $ amount in revenues) * This field is required.
Huge
Large
Normal
Small
Ok
Ok
5
How much have you been spending on marketing and advertising each month to fuel the growth of your business for the last 6 months?* This field is required.
Less than $1000 per month
$1000-$2500 per month
$2500-$5000 per month
$5000-$10,000 per month
$10,000+ per month
I rely on referrals, and I don’t spend any money
6
What were your annual revenues for the last 12 months?* This field is required.
Less than $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000- $2,500,000
$2,500,000 - $5,000,000
$5,000,000+
7
How much working capital would you like to secure to fuel growth? (ie $50,000 - $500,000)* This field is required.
8
How quickly would you like to start increasing sales and profits?* This field is required.
I’m ready right now
Within 14 days
Within 30 days
Not sure
9
First Name* This field is required.
10
Business Email* This field is required.
11
Company Website URL* This field is required.
12
Mobile Phone Number* This field is required.
13
How much funding are you looking to secure? (insert desired $ amount) * This field is required.
14
What’s the specific reason you require funding?* This field is required.
15
What were your annual revenues for the last 12 months?* This field is required.
Less than $100,000
$100,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000- $2,500,000
$2,500,000 - $5,000,000
$5,000,000+
16
What is your credit score range?
Under 550
550 - 650
650-750
750+
17
How quickly does your company need the funding?* This field is required.
Less than 1 week
1-2 weeks
2-4 weeks
2-6 months
6 months+
18
First Name* This field is required.
19
Business Email* This field is required.
20
Company Website URL* This field is required.
21
Mobile Phone Number* This field is required.
Should be Empty: