CASB Management Group Inc. | Apply for Business Financing

Apply for Business Financing

A business finance consultant will use this information to identify a strategy for funding. All information you provide will be kept strictly confidential, forwarded only when a perspective lender is identified.

Please complete the following form, or you may also print a copy to fax or mail it to us.

Applicant Name:
Title:
Company Name:
Street Address:
City:
Province / State:
Country:
Postal Code / Zip:
Telephone:
Cellular Phone:
Fax:
E-mail:
Start Up or Existing Business:	Start Up Existing Business
Years in Business:
Ownership:	Sole Proprietorship Partnership Corporation
Industry:
Amount of Financing Requested $:
Equity Invested by Client: $
Purpose of Financing:	Mortgage Working Capital Franchise Purchase	Equipment Financing Receivables Financing Other:
Briefly Describe Purpose of Financing:
Business Plan Available:	Yes No
Personal Guarantee Available:	Yes No
Credit History of Owner:	Excellent Satisfactory Poor
Credit History of Company:	Excellent Satisfactory Poor
If Business Purchase:
Purchase Price $
If an Existing Business:
Total Business Assets $
Total Business Liabilities $
Total Business Net Worth $
Company’s Annual Revenue $
Company’s Annual Net Profit $

How We Operate
Types of Business Financing Available

For more information on how we can assist your business, please contact us.