Pre-Qualify My Business
Please provide all required details to register your business with us
Business Owner
*
First Name
Last Name
Business Name
*
Mobile Number
*
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Business
*
Please Select
Physician Group
Radiology Group
General Dentist
Orthodontist
Business
Others
*
Back
Next
Years in Business
Legal Tax Structure
Please Select
C-Corp
S-Corp
General Partnership
LLC
Sole Proprietor
Annual Gross Revenue
Please Select
up to $60k
$61k-150k
$150k-$300k
$301k-$499k
$500k-$999k
$1M+
Funding Amount Requested
Please Select
Up to $50,000
$50,000 to $99,000
$100,000 to 249,999
$250,000 to 499,999
$500,00+
How Soon do you need Funding?
Please Select
Within 72 hours
1-2 Weeks
1 Month
2-3 Months
4-6 Months
6 Months+
Personal Credit Score
Please Select
Great 720+
Good 650 - 720
Average 600 - 640
Improving Under 600
Please select the documents you can provide (upon request) to qualify for funding
Articles of Incorporation/ Organization
Statement of Good Standing with Sec of State
Proof of EIN Number
3 Months of Business Bank Account Statements
3 Months of Merchant Account Transactions
Profit and Loss Statements
By Submitting this inquiry form I agree to a free consultation with SpiFi Angel to assess funding opportunities available for my business.
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