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Apply Online for a Business Cash Advance

Are you ready to borrow against future credit card sales? Do you need quick working capital? Whatever your need, BrightSky Financial is here to help. All you need to do in order to apply is fill out the form below.

  • There’s no commitment
  • Nothing to sign
  • Just fill it in, and we’ll be in touch with you to discuss your merchant funding

Business Information
Legal/Corporate Name:
DBA:
Email Address:
Physical Address:
 
City, State, Zip:
Phone: ( )  -  ext.
Fax: ( )  -
Web Site:
Date Business Started:
Length of Ownership:
Federal Tax ID: - -
Type of Entity:
Type of Business: Retail MO/TO Wholesale Restaurant Supermarket Other
Product/Service Sold:

Merchant Information
Corporate Officer/Owner:
Title:
Home Address:
 
Home City, ST, Zip:
Home Phone: ( )  -  ext.
Cell Phone: ( ) -  ext.
Social Security # : - -
Date of Birth:
Ownership %:
 

Business Property Information
 
Landlord or Mortgage Bank:
Contact Name or Account #:
Phone #: ( )  -  ext.
 

Business Trade References

Please list 3 trade suppliers.
 
Business Reference 1:
Contact Name or Account #:
Phone #: ( )  -  ext.
   
Business Reference 2:
Contact Name or Account #:
Phone: ( )  -  ext.
   
Business Reference 3:
Contact Name or Account #:
Phone #: ( )  -  ext.
 

Credit Card Processing Information
 
Credit Card Processing Terminal(s) / Software Model:
Number of Terminals:
  Printer Model(s) (if applicable):

  Check Reader Model (if applicable):

Do you allow customers to enter PIN # for debit/check cards? YES NO

  If yes, is your PIN pad

 internal or external?
Do you require AutoBatch feature on your terminal(s)? YES  NO
  If yes, list time:  
Do you require tip feature on your terminal(s)? YES NO
Applicant authorizes 1st Merchant Funding, its assigns or its agents to obtain an investigative or consumer report from a credit bureau or a credit agency and to investigate the references given on any other statement or data obtained from applicant.

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