First Name of Business Owner *

Last Name of Business Owner *

Estimated Personal Credit Score (FICO Range) *

Cell Phone *

Home Address *

City

State

Country

Postal code

Legal Business Name (as registered) *

Business Physical Address

Business Mailing Address if Different From Physical Address

Email

Used for secure communication

What type of business do you own? *

How long have you been in business? *

How much funding do you need? *

Would you be interested in business credit building strategies? *

Yes

No

Would you be interested in learning how AI can save you money in your business? *

Yes

No

What is your average monthly revenue *

Business Website *

Do you accept customer payments via credit card *

Yes

No

Do you have a business bank account *

Yes

No

EIN ( Federal Tax ID ) *

Do you currently have any outstanding Merchant Cash Advances (MCAs) or other business loans? *

If yes, can you specify the type of financing, the remaining balance, and the repayment terms? *

What are your current business goals, and how do they relate to revenue growth? *

Please list all individuals or entities with an ownership stake in the business of 25% or more.

Have you established business credit through any of the following agencies? Please select all that apply: *

Bank Statement One *

The most recent 30 days

All pages, no pen marks.

Bank Statement Two *

The most recent 60 days

All pages, no pen marks.

Bank Statement Three *

The most recent 90 days

All pages, no pen marks.

Equipment Financing Quote (Optional)

Drivers License (Front) *

Drivers License (Back) *

Voided Check *

Signature *

Clear

“Use finger or mouse to sign”

I consent to receive SMS notifications, alerts, and occasional marketing communication from Vibe Funding. Message frequency varies. Msg & data rates may apply. Text HELP to 208-369-9682. Reply STOP to unsubscribe at any time.