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Need Help? Apply Below!
Business Legal Name: *
Business DBA: (if applicable)
Business Phone: *
Full Name of Principal Owner: *
Website: *
Email *
How Long Have You Been In Business? *
0-1 Months
1-6 Months
7-11 months
1 year-5 years
5+ years
Are You a US Citizen or Permenant Resident? *
Yes
No
Full Address: *
The Company
and the undersigned principal owner of
The Company
identified above (“Applicant”) represents, acknowledges, and agrees that (1) all information File Uploadand documents provided to
Financial Empowerment Services LLC
(“Provider”) are true, accurate, and complete, (2) Applicant will immediately notify Provider of any change in Applicant's financial condition, (3) Provider is authorized to submit this Application and all supporting documents provided by Applicant to its’ affiliates, representatives, successors, assigns, designees, agents, partners, and third-party financial institutions for the purpose of considering commercial financing offers to Applicant (collectively "Recipients"), (4) such Recipients are authorized to request and receive any investigative reports, consumer credit reports, statements from creditors or financial institutions, verifications of information, or any other information that Recipients deem necessary in considering this Application, (5) the undersigned represents that they are authorized to sign this form on behalf of
The Company
, and (6) THE COMPANY AND PRINCIPAL CONSENT TO RECEIVE CALLS, TEXTS, AND EMAILS FROM PROVIDER AND RECIPIENTS BASED UPON THE CONTACT INFORMATION OF APPLICANT PROVIDED IN THIS APPLICATION.
By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested from Financial Empowerment Services LLC . These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply .Reply HELP for help or STOP to opt-out.
By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others from Financial Empowerment Services LLC . Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.
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