CONSUMER PRODUCT
FINANCING
INQUIRY FORM



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Consumer Product Financing Inquiry Form
Please fill out all fields below. Put N/A if the field is not applicable, if that field requires a response. When finished, hit DONE to get to the Verify page, from which you will send your info to us by hitting SUBMIT. Your situation will be carefully matched to the consulting source that can best serve YOU, and we will be in contact within one working day, often the same day.


NOTE: We will never, ever, ever give away or sell your information. It is completely safe with us. We hate SPAM as much as you do and we will never send your correspondence other than what is necessary to complete a funding request.


Company Name:*

Contact Name:*

Contact TItle:*

Phone:*

Fax:

Email:*

Website URL Address (if applicable):

Street Address:*

City, State Zip:*

Length of Time in Business:*

Please Describe Your Product or Service:*

How Much Does Your Product or Service Cost?*

Do You Currently Offer a Finance Program?
No      
In-House      
Other      

Do You Currently Sell These Receivables?
No      
Yes      

If Yes, What Are the Terms with the Finance Company?
Discount %      
Reserve %      

If No, Would You Like To?
Yes      
No      

Size of Your Contracts:
Average $      
Down Payment $      

What Is the Average ...
Term of Each Contract?      
Average Interest Rate %      

What Is Your Monthly Volume in Finance Contracts?*

What Is the Typical Profile of Your Customer?*

What Do You Do with Delinquent Accounts, or Write-Offs?
Nothing      
Send to an Agency      
Collect In-House      
Other      

How Much Bad Debt Do You Have ...
In-House      
With an Agency      

If Other, Please Explain:

If You Have In-House Receivables, Do You Currently Utilize a Loan Servicing Company to Bill Your Portfolio?
No      
Yes      

Privacy Policy
We will never, ever, ever give away or sell your information. It is completely safe with us. We hate SPAM as much as you do and we will never send your correspondence other than what is necessary to complete a funding request.


PRESS THE "DONE" BUTTON AT FAR RIGHT TO CONTINUE

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A. Lawsuit Loans | Lawsuit Funding Form

B. Consumer Product Financing Form

C. Life Insurance Policy Buyout Form

D. Freight Broker Financing | Factoring Form

 
 

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