Business Funding Inquiry

1

Name* This field is required.

2

Email* This field is required.

3

Phone Number* This field is required.

4

Company Name* This field is required.

5

DBA NameIf different from Company Name

6

FICO Score* This field is required.Please Note: We DO NOT pull any credit information upfront. We go based off a stated credit score. Once a pre-approval is given, if you decide to move forward, then and ONLY then is your credit pulled.

450-550

550-600

601-650

651-700

700-800

7

Time in Business

Less than 6 months

6 months - 1 year

1 - 2 years

2+ years

8

Amount Seeking* This field is required.

9

Reason for Funding/Type of equipment needed* This field is required.

10

Seeking Funds

Immediately

Within 30 days

More than 30 days

Unsure / Just inquiring

11

Additional Comments

12

Please select.* This field is required.

By submitting this form, I affirm that I am 18 years of age or older.

13

Please select.* This field is required.

By submitting this form, I consent to receiving email and SMS communication from Allied Financial Lending regarding marketing and loan products such as Merchant Cash Advances, Equipment Financing, and other loan products offered by the company.