FACTORING SERVICES Need Quick Cash? We Are "On-Call" 24-7! Without obligation, please complete this Short-Form. Our Online Team will immediately forward the form to the 24-Hour "ON CALL" Representative that handles your local area. We are here to assist you 24 hours a day! GENERAL INFORMATION Legal Name of Business Type of Ownership Corporation S Corporation LLC Partnership Sole Proprietorship Other City and State Your Name Your Position With The Company Attorney CEO CFO Controller COO CPA Director Executive VP Office Manager Owner President Sr. Vice President Vice President Assistant Vice President Other Select Email Phone Best Time To Contact You - am pm Type of Business (Industry) Select Your Industry Accounting Business to Business Distribution Fashion-Apparel Freight Brokerage Law Manufacturer Medical / Healthcare Printing Security / PI Firms Service Staffing / Perm Placement Staffing / Temp Placement Staffing / Temp and Perm Telecommunications Transportation Trucking Wholesale Distribution Other ABOUT ACCOUNTS RECEIVABLES Dollar Amount of Receivables Now Open Amount You Intend To Factor on Monthly Basis Are Your Accounts Receivables Pledged as Collateral? No Yes If YES, to whom? Are You Factoring Now or Factored in the past? Yes No If Factoring Now If Factored in the Past HOW DID YOU HEAR ABOUT US? -------> Please Select One Attorney Bank Other Lender Broker CPA CFG Client Alta Vista AOL Ask Jeeves Excite Google HotBot Jayde Lycos MSN Overture Yahoo YellowPages Other Thank you for submitting the online form and for the opportunity to provide you with excellent factoring services. The person that handles your local area will contact you shortly.
FACTORING SERVICES
Need Quick Cash?
We Are "On-Call" 24-7!
Are You Factoring Now or Factored in the past?
Yes No
If Factoring Now
If Factored in the Past
Thank you for submitting the online form and for the opportunity to provide you with excellent factoring services. The person that handles your local area will contact you shortly.