BetterGetFunded Application
Business Name
*
Name
*
First
Last
Date of Birth
*
-
Month
-
Day
Year
Date
Home Address
*
#, Street, City, State, Zip Code
E-mail
*
example@example.com
Phone
*
Monthly Revenue (USD)
*
EIN #
*
Social Security #
*
% Of Ownership
*
Business Address
*
#, Street, City, State, Zip Code
Type of Entity
*
LLC
Non-Profit
Sole Proprietorship
Partnership
Corporation
LLP
Years in Business
*
1 Year
2 Years
3 Years
4 Years
5-10 Years
10+ Years
Type of Business
*
Retail
Restaurant
Healthcare
Construction
Service
Signature
*
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Submit Application Now
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