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Application for Fordham Capital loan.

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 Country
Type of Business Entity*
Phone
Fax #
Email
Phone
Monthly Revenue*
Time in Business*
Industry*
Business Start Date (under current ownership)*
Date Format: MM slash DD slash YYYY
Home Based BusinessFranchiseE-CommerceNone of the Above Does the Merchant have any open loan or MCA accounts*
Federal Tax ID*
Use of Proceeds*
Business Locations*
Avg Monthly Credit Card Volume*
Avg Transaction Amount*
Is Business Seasonal*
If Seasonal Peak Months

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