Bur Capital Equipment Loan Application
Applicant info
First Name
Last Name
Email
Phone
Company
Legal Company Name
Average FICO score of all applicates
Company Address
Company City
Company State
Company Zip Code
Website URL (optional)
https://
Company Phone
Yearly Company Revenue
$
Last year or YTD revenue if newly formed
Loan info
Requested Loan Amount
$
Equpment Description
Desired Terms
12 Months
24 Months
36 Months
48 Months
Desired Terms
12 Months
Company Ownership
First Name
Last Name
Address
City
State
Zip Code
Phone
Ownership Percentage
%
Supplier info
Sales Rep Name (optional)
Sales Rep phone (optional)
Submit
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