Program Highlights

• Receive up to 93% of the value of your invoices
• Factoring doesn't require a personal guarantee
• No term contract. Factor as much or as little as you like
• No liens on corporate assets other than the accounts receivable
• Funding is based on your clients ability to generate eligible sales & not net worth
• It takes 5 to 10 days to set up your account - after initial set up funding will usually take place 24 hours after you submit your A/R

Business name

Time in business

Industry

Avg invoice amount

Payment term you give your clients Choose One Net 10 Net 15 Net 30 (Other) Other:

Est. monthly volume

Annual sales

How long do you plan on factoring? Choose One Just this one time 0 - 3 months 3 - 6 months 6 - 9 months 9 -12 months 1 year or longer (Other) Other:

Are you currently using a factoring company? Choose One Yes No

If Yes, please provide name of current factoring company

Enter your business address:

Tell us how to get in touch with you:
Name
E-mail
Phone
FAX

Please contact me as soon as possible regarding this matter.

Please Fax Your Current Aging Report and/or A List Of The A/R You Would Like To Be Factored To: 1-702-548-5166