Ezy Pzy Leads Form 2024 V1

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Do You Have an ABN?* This field is required.

YesNo

Are You an Australian Citizen or Permanent Resident?* This field is required.

YesNo

Do You Need A Loan For Your Business?* This field is required.

YesNo

How Much Do You Want to Borrow? ($AUD)* This field is required.Typically we see between 1-3X your monthly revenue to loan funded.

What Do You Need These Funds For?* This field is required.

Cashflow / Working Capital

Bills / Invoices

Equipment

Stock / Supplies

Fund New Project

Cover Costs

Bridging Finance

Line Of Credit

Debt Consolidation

Other

How Many Months Have You Been Trading?* This field is required.Please ensure to put your trading time in months, otherwise the system will not be able to match you with the right lenders.

Months Trading

Are You a Homeowner?* This field is required.Being a homeowner can help to strengthen your application.

YesNo

What Is Your Business's Monthly Revenue? ($AUD)* This field is required.You'll need at least $10,000 p/month revenue to be eligible for our service.

What Industry Is Your Business In?* This field is required.

Agriculture / Farming / Mining

Arts and Lifestyle

Building and Trade

Financial Services and Insurance

Hair and Beauty

Health

Hospitality

Manufacturing

Professional Services

Real Estate and Property Management Services

Retail

Transport and Automotive

Wholesaling

Other

What Is Your Credit History?* This field is required.We can work with all credit profiles. Please be as accurate as you can, so we can save time by going to the right lenders that match your unique situation.

Great - 800+

Good - 600-800

Average - 400-600

Bad - Less Than 400

Do You Have Any Defaults On This Or Any Other Company?* This field is required.We can help clients even with existing defaults. Please be as accurate as you can, so we can save time by going to the right lenders that match your unique situation.

YesNo

Does Your Business Operate Under a Trust Account?* This field is required.

YesNo

How Soon Do You Need The Funds?* This field is required.

URGENT: I need funds today

FAST: Within 24-48 hours

PLANNING: Within the next 7 days

STRATEGIC: 2+ weeks (Just checking options)

What’s Most Important to You in a Loan?* This field is required.Choose the one that best matches your needs right now.

Fits my weekly budget - even if loan amount is lower

Speed - I want the fastest option possible

Rates - I’m happy to wait if it means the best rate

Loan amount - I want the highest possible funding

Flexibility - Early payout or redraw options are important

What’s The Maximum Weekly Repayment You’d Feel Comfortable With For The Right Loan?* This field is required.This helps us tailor your offers to your cashflow and avoid showing you options that don’t make sense for your business. It won’t lock you in — we’ll give you multiple options, including one within your comfort range and others based on your maximum funding potential.

What Is The Best Time To Call You?* This field is required.

Morning - 9am-12pm

Arvo - 12pm-6pm

Anytime is fine

Great Work, Almost Done! Please Enter Your Name* This field is required.

First Name

Last Name

Enter Your Company Name* This field is required.Enter your registered business name exactly. Accuracy is required for automated lender matching and same-day approval.

What Is Your ABN?* This field is required.If you're not sure, please use ABN Lookup to quickly find it by clicking here: ABN Lookup (business.gov.au)

e.g. 67653666918

Enter Your Email Address* This field is required.

example@example.com

Finally - Confirm Your Mobile Number* This field is required.Confirm your number by typing in the code sent to your phone. After you submit the form, one of our business funding specialists will call you back shortly, to discuss your needs and help you access finance options within 24hrs.