FACTORING SERVICES Need Quick Cash? We Are "On-Call" 24-7! Without obligation, please complete this Short-Form. Our Trucking & Transport Team will immediately forward the form to the 24-Hour "ON CALL" Representative that handles your local area. We are here to assist you 24-7! GENERAL INFORMATION Legal Name of Business Type of Ownership Corporation S Corporation LLC Partnership Sole Proprietorship Other Country United States Australia Canada Czech Republic France Germany Holland Hong Kong India Ireland New Zealand Poland Slovakia Sweden United Kingdom Other City and State/Province 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 Staffing / Perm Placement Staffing / Temp Placement Staffing / Temp and Perm Other ABOUT ACCOUNTS RECEIVABLES Dollar Amount of Receivables Now Open Amount You Intend To Factor Monthly? 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 - With Whom? If Factored in the Past - With Whom? BACK OFFICE SERVICES: Interested in Back Office? Yes No 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 - With Whom?
If Factored in the Past - With Whom?
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.