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Welcome to the 1 Minute Application
Merchant Funding Application
Business Loan & Business Advance Application
1
Your Information
2
Your Business Information
3
Terms of Agreement
Name
*
First
Last
Email
*
Contact Phone
*
How did you hear about us?
AD
Search Engine (google, yahoo, etc)
Social Media
Friend
Other
Business Name
*
How long have you been in business?
*
3 months - 1 Year
1 year - 2 years
2 years - 3 years
3 years - 5 years
5 years - 10 years
10 years+
What Industry are you in?
*
Agriculture of Landscaping
Apparel or Accessories
Auto Repair
Bakery
Barber Shop
Bars
Beauty/Cosmetic Supply/Nail Salon
Bicycle Shop
Bowling Alley
Business Services
Building Materials
Car Wash
Card & Novelty Stores
Clothing Stores
Coffee Shops
Construction
Dry Cleaner
Electronics or Computers
Entertainment
Florist
Furniture Store
Garden Store/Retail Nursery
Gas Station
Grocery or Convenience Store
General Merchandise Store
Health Services
Home Based
Hotel/Motel
Liquor Stores
Manufacturing
Medical/Dental/Veterinary
Recreation
Restaurant
Retail Store
Staffing
Tanning Salons
Technology
Theaters
Transportation
Wholesale
Other
How much capital are you looking for?
*
$5,000 - $10,000
$10,000 - $15,000
$15,000 - $20,000
$20,000 - $25,000
$25,000 - $30,000
$30,000 - $40,000
$40,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$100,000 - $150,000
$150,000 - $250,000
$250,000+
How soon do you need the funds?
*
Immediate need
1 week
Less than 30 days
30 Days+
How will you use the funds?
*
Advertising/ Marketing
Business Debt
Buying Equipment
Inventory
Payroll
Purchase Opportunity
Remodel/ Expand
Taxes
Working Capital
Other
Monthly Gross Sales
*
$10,000 - $25,000
$25,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
$250,000 - $500,000
$500,000+
By submitting this form, you consent to receiving calls and/or electronic messages from GRP Funding that you provide. You may opt-out of receiving communications from GRP at any time pursuant to GRP's
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Agreement
*
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