Give us the opportunity to make you a better offer. Please complete the very short form below. The person that handles your region will contact you shortly.
Your Title With Company : Attorney CEO CFO Controller COO CPA Director Executive VP Office Manager Owner President Sr. Vice President Vice President Assistant Vice President Other Select Company : Type of Ownership Corporation S Corporation LLC Partnership Sole Proprietorship Other Full Name : 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 How Long in Business : State : Telephone : Email : ABOUT ACCOUNTS RECEIVABLES Dollar Amount of Receivables Now Open Total Sales Last 12 Months Approximate Number of Customers Do You Sell on Terms of Net: 10 days 30 days 60 days 90 days Average Invoice Amount Are Your Accounts Receivables Pledged as Collateral? No Yes If YES, to whom? ANTICIPATED MONTHLY FACTORING VOLUME Amount You Intend To Factor on Monthly Basis Maximum Anticipated Annual Factoring Volume Are You Factoring Now or Factored in the past? Yes No If Factoring Now - With Whom? If Factored in the Past - With Whom? BRIEFLY TELL US ABOUT YOUR CURRENT OFFER (Fees / Rates / Advance %) Thank you for submitting the online form. We will contact you shortly.
Your Title With Company : Attorney CEO CFO Controller COO CPA Director Executive VP Office Manager Owner President Sr. Vice President Vice President Assistant Vice President Other Select Company : Type of Ownership Corporation S Corporation LLC Partnership Sole Proprietorship Other Full Name : 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 How Long in Business : State : Telephone : Email : ABOUT ACCOUNTS RECEIVABLES Dollar Amount of Receivables Now Open Total Sales Last 12 Months Approximate Number of Customers Do You Sell on Terms of Net: 10 days 30 days 60 days 90 days Average Invoice Amount Are Your Accounts Receivables Pledged as Collateral? No Yes If YES, to whom? ANTICIPATED MONTHLY FACTORING VOLUME Amount You Intend To Factor on Monthly Basis Maximum Anticipated Annual Factoring Volume Are You Factoring Now or Factored in the past? Yes No If Factoring Now - With Whom? If Factored in the Past - With Whom? BRIEFLY TELL US ABOUT YOUR CURRENT OFFER (Fees / Rates / Advance %)
Are You Factoring Now or Factored in the past?
If Factoring Now - With Whom?
If Factored in the Past - With Whom?
Thank you for submitting the online form. We will contact you shortly.