Broker File Submission
Submit your file and provide key deal details for strategic lender placement. Secure and confidential.
Broker Information
Company Name
*
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Merchant Information
Business Name
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Monthly Revenue ($)
*
Requested Amount ($)
*
Time in Business
*
Please Select
Less than 6 months
6-12 months
1-2 years
2-5 years
5+ years
File Details
What type of funding are you looking for?
*
MCA
Business LOC
SBA
Equipment Financing
Other
Has this merchant already received offers?
*
No
Yes – offers are available
Yes – currently negotiating
How would you grade your communication with this merchant?
*
1
2
3
4
5
How heavily has this file been shopped?
*
Not shopped yet
Lightly shopped
Moderately shopped
Heavily shopped
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