Expresní factoring
Please fill in information on your business. If you need to consult about an issue, please submit your request to factoring@factoring.eu.
Company Name *
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Company Identification No. *
Your answer
E-mail *
Your answer
Name of Contract Person *
Your answer
Telephone *
Your answer
Scope of Business *
a brief summary of your business and what financing should relate to
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What was your turnover last year? *
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What is your turnover target for this year? *
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Region in which you are active
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Has you company concluded a loan agreement with a bank or with another financial institution? *
Required
Has your company concluded any factoring-based contracts? *
Required
Has execution been conducted with respect to your company in the past 6 months? *
Required
Do you have any debt with governmental institutions that has been overdue for more than 90 days, or have you agreed upon a schedule of installments (social security administration, heath insurance companies, tax revenue authorities)? *
Required
Customer No. 1 *
Please provide: Company Identification No. (IČ), name of contact person, telephone number and e-mail, annual invoices in CZK, contractual maturity of invoices, requested limit of financing and if you have/do not have mutual invoices with the customer
Your answer
Customer No. 2 *
Please provide: Company Identification No. (IČ), name of contact person, telephone number and e-mail, annual invoices in CZK, contractual maturity of invoices, requested limit of financing and if you have/do not have mutual invoices with the customer
Your answer
Customer No. 3 *
Please provide: Company Identification No. (IČ), name of contact person, telephone number and e-mail, annual invoices in CZK, contractual maturity of invoices, requested limit of financing and if you have/do not have mutual invoices with the customer
Your answer
I consent to personal data processing and declare that the above data is true and accurate. *
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I declare that I submit for purposes of financing only customers with payments not exceeding 45 days after maturity. *
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