BUSINESS CAPITAL PREQUALIFICATION  FORM

By completing this form we will be able to pre-qualify your company’s ability to get the funds you are looking for.

You agree that we can then contact you at the phone number(s) and email address provided to discuss funding options, answer questions, and complete the application. If you provide your mobile number, this contact may include text messaging. Providing a mobile number is not a condition of this funding.

This form MUST be completed only by the business owner.
Fields marked with an * are required

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    If your sales do not exceed $20,000 each of the last three months, please apply for INSTANT APPROVAL and SAME DAY funding up to $25k today with our Bank Breezy process-requiring only $5k monthly sales.
     
     


    Note: we fund between $25,000 - $2,000,000. You can usually qualify for 1-2x your monthly revenue. Example: $100,000 monthly revenue = qualified for $100,000-$200,000. Your payback amount will vary between 1.2x-1.45x funded amount. Example: $100,000 funding with payback of $120,000-$145,000.


    If your sales do not exceed $15,000 each of the last three months, please apply for INSTANT APPROVAL and SAME DAY funding up to $25k today with our Bank Breezy process-requiring only $5k monthly sales.


    If yes, please enter the approximate balance owed as well.