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. Note: These are not SBA Emergency or PPP loans.
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.
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* Required
How Much Money Would You Like?
*
Choose
$10,000-$20,000
$20,000-$40,000
$40,000-$70,000
$70,000-$100,000
$100,000-$250,000
$250,000-$500,000
$500,000-$750,000
$750,000-$1,000,000
$1,000,000 +
Current Monthly Sales?
*
Less Than $10,000 (Only Qualifies For Micro-Funding)
$10,000-$20,000
$20,000-30,000
$30,000-$50,000
$50,000-$75,000
$75,000-$100,000
$100,000-$250,000
$250,000-$500,000
$500,000-$1,000,000
$1,000,000+
How Long Have You Been In Business?
*
Less Than 4 Months (Does Not Qualify For Funding)
4 Months - 1 Year
1 Year - 3 Years
3 Years - 5 Years
5 Years - 10 Years
10+ Years
Number of Deposits From Sales Per Month?
*
Under 3 (Does Not Qualify For Funding)
3 - 10 Deposits
10 - 20 Deposits
20+ Deposits
Number of Days Your Bank Account Negative This Month?
*
None
Under 3
Over 3 (Does Not Qualify For Funding)
Company Name
*
Your answer
Nature of Business?
*
Your answer
State Company Located In?
*
Your answer
Owner's Name?
*
Your answer
Owner's Email Address?
*
Your answer
Owner's Office Number?
*
Your answer
Owner's Mobile Number?
Your answer
Approximate FICO Credit Score Of Owner?
*
Your answer
Name of Bridgepoint Agent Who Referred You?
*
Your answer
Submit
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