Business Cash Advance $3,000 to $300,000 per location Reward yourself today by taking advantage of one of your most valuable assets... YOUR CUSTOMERS. To get started simply provide the information requested below. PROGRAM QUALIFICATIONS: Must own business at least 9 months $4,000 minimum in credit cards sales per month In good standing with landlord with 1+ year lease $10,000 minimum in gross sales per month Most business types accepted FEATURES: Decision in as little as 24 hours 97% Approval rate Free consultation Cash in 7-10 days No up-front fees or closing costs Available in all 50 states SUGGESTED BUSINESS CASH ADVANCE USES: Cash Flow Equipment Taxes Advertising & Marketing Expansion Unexpected Bills Inventory Any Business Desire! BENEFITS: No set term Not a loan Easy payback process Builds business credit Click here for FAXABLE APPLICATION Our fax number is: 877-300-7145 , or 954-757-2534 Attention: Marketing * = Required Corporate Name: DBA if different: * Contact Person: Daytime Phone: * * Ext: Address: Cell Phone: * City: Fax: * State: Zip: Email Address: * * Website URL: How did you hear about us? Choose One Search Engine Email Postcard Classified Ad Loan Broker Sales Agent Classified Ad Word of Mouth Yellow Pages Phone Call Web Site Present Client Magazine Direct Mail Don't Remember Other * Does your business presently accept credit cards? Visa MasterCard None * Amount of cash requested: Monthly Visa/MasterCard Volume: Select Cash Advance Amount $5,000 $10,000 $15,000 $20,000 $25,000 $35,000 $50,000 + * Select Monthly Volume 0 $1000 $3000 $5000 $10000 $15000 $20000 $25000 $25,000-$35,000 $35,000-$45,000 $50,000 + * Total Monthly Sales: Products/Services Sold: Date your business was established: Legal Entity: Choose Month 1 2 3 4 5 6 7 8 9 10 11 12 * Choose Year 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 * Choose One S Corporation C Corporation LLC Corporation Partnership Sole Proprietorship * Intended use of funds: State of Incorporation: Choose One Advertising Cash Flow Debt Consolidation Inventory Equipment Purchase Expansion Payroll Remodeling Other * Choose your Industry Category: Referring Agent: Choose One Accounting Automotive Business Services Computers Construction Education Entertainment Finance Franchise Home Improvement Hospitality Insurance Law Manufacturer Medical MLM Personal Services Real Estate Restaurant Retail Technical Services Trucking Wholesalers/Distributors Other Marital Status: Business Category: Choose Married Single Divorced Choose Wholesale Retail Manufacturing Restaurant Service Lead Provider Comments: Agreement I, or an authorized agent with my permission has completed this application and certify all information is true and accurate. It is agreed that all documents furnished to Business Financial Services, Inc, (BFS), belong to them except as otherwise prohibited by applicable law and authorize BFS & its Merchant Account Processors or assigns, to access my credit report, Dunn & Bradstreet and other financial resources to verify any information or credit on my behalf, electronically or otherwise. Signature of Participant or Authorized Agent (Type in your name to agree to the terms of the agreement) Please print this page for your records. If your app is not accepted properly please print this page and fax it to 877-300-7145 privacy

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