Apply Now FREE QUOTE Application for Fordham Capital loan. Trustpilot Step 1 of 3 - Business Information 0% Name* First Last Company Name*DBA (if different than Company name)Company Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Type of Business Entity*CorporationLLCPartnershipLtd. PartnershipLLPSole ProprietorPhoneFax #Email PhoneMonthly Revenue*less than $5,000$5,000 - $10,000$10,000 - $20,000$20,000 - $30,000$30,000 - $40,000$40,000 - $50,000$50,000 - $75,000$75,000 - $100,000$100,000 - $250,000$250,000 +Time in Business*less than 6 months6 months to 1 year1-2 years2-5 years5+ yearsIndustry*Medical Doctors/Chiropractors/Dentists/Other Health PractitionersHotels & MotelsHealth ServicesHome Health Care AgenciesLandscape/Horticulture/Lawn & Garden ServicesAmusement & RecreationPhysical Fitness FacilitiesBeauty ShopsGeneral Automotive Repair Shops/Auto Repair Services and GaragesManufacturing IndustriesRestaurants & BarsCaterersConstruction Sand & GravelGrocery StoresLiquor StoresRetail StoresSpecial Trade ContractorsPlumbing/Heating/and Air ConditioningGeneral Building & Single-Family Housing ContractorsNonresidential ConstructionWholesale Trade-Durable GoodsReal Estate Management CompanyInsuranceLaw FirmFinancial ServicesOtherBusiness Start Date (under current ownership)* Home Based BusinessFranchiseE-CommerceNone of the Above Does the Merchant have any open loan or MCA accounts*YesNoFederal Tax ID*Use of Proceeds*Business Locations*MortgageRentAvg Monthly Credit Card Volume*Avg Transaction Amount*Is Business Seasonal*YesNoIf Seasonal Peak Months Credit Score*Excellent (720+)Great (680-720)Good (630-680)Fair (580-630)Poor (500-580)Bad (500 or less)Any Open Bankruptcies?*YesNoAny Tax Liens?*YesNoSection BreakSecond Owner First/Last NameSecond Owner Percentage of Ownership Landlord Name/Mortgage Co. Name*Landlord/Mortgage Co. Phone*Business Trade Reference Name 1Reference #1 PhoneBusiness Trade Reference Name 2Reference #2 PhoneBusiness Trade Reference Name 3Reference #3 PhonePhoneThis field is for validation purposes and should be left unchanged.
