Bridge Capital Services Portal

Enter Basic Information

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Legal Business Name*
Enter your legal business name
DBA (Optional)
If different from legal business name
Name*

First NameLast Name
Mobile*
Please enter a valid phone number.
Email*
example@example.com

Enter personal information

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{name}
Home Address*

Home Address

Home CityHome State

Home Zip

Enter business information

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{name}
Same as home address
Business Address*

Business Address

CityState

Zip

Tell us more about your business

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{legalBusiness}
Legal Entity Type*
Date Business Started*

MonthDayYear
Date
Nature of Business*
Monthly Revenue*
Estimated FICO Score*
Requested Funding Amount

Verify identity and ownership

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Date Of Birth*

MonthDayYear
Date
Social Security*
EIN*
I don't have an EIN number
Percentage Ownership*
Add a partner

Partner Information

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Partner Name

First NameLast Name
Ownership Percentage
Email
example@example.com
Date Of Birth

MonthDayYear
Date
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
SSN
Phone Number
Please enter a valid phone number.

Upload your last 4 months of business bank statements

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File Upload (PDF)

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We must receive your business bank statements in order to process your application and generate offer(s). Upload them now or reply to your confirmation email with your statements later.
Uploaded documents are protected with a bank-grade AES 256-bit SSL (Secure Socket Layer) connection that uses a SHA256 Certificate.

Sign & Certify

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Signature*

Clear
Partner Signature*

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Date

MonthDayYear
Date

MonthDayYear
utm_source
utm_medium
utm_campaign
source
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