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Business Funding Intake Form
SECTION 1 —
Contact Information
Full Name
*
Phone Number
*
Email Address
*
City and State
*
Section 2 — Business Information
Business Name
*
Business Industry
*
Business Structure
*
Business Structure
LLC
Corporation
Sole Proprietor
Partnership
Not registered yet
Business Start Date
*
Section 3 — Funding Request
How much funding are you seeking?
*
What will the funding be used for?
*
Section 4 — Business Activity
Do you currently have a business bank account?
*
Do you currently have a business bank account?
YES
NO
How long has your business been operating?
*
Do you have at least 3 months of business bank statements?
*
Do you have at least 3 months of business bank statements?
YES
NO
Section 5 — Transportation Companies
Is your business related to transportation or trucking?
*
Is your business related to transportation or trucking?
YES
NO
Section 6 — Agreement
*
Section 6 — Agreement
I understand that 750 Club provides funding preparation and consulting services only. Funding decisions are made by lenders and approval cannot be guaranteed.
“Book Strategy Call.”