Financial Advantage Group

Fill out our application below and one of our funding officers will contact you within the next 12-24 hours.

Please fill out all contact information in order for us to expidite the funding decision.

BUSINESS INFORMATION
First Name:	MI:
Last Name:
Phone Number: (e.g. (813) 555-5555)
Alternative Phone: (Mobile, work, etc)
Best time to contact:
Email Address:
Street Address:
Street Address 2:
City:
State:
Zip Code:

Do you Currently Own a Business?
Yes
No

Length of Ownership:

Credit History:

Excellent, all payments made as agreed

Good, with a few late payments

Fair, several accounts are delinquent

Poor, serious delinquency

Have you ever filed Bankruptcy?
Yes
No

If YES, what was the Discharge Date?

Once Form is submitted a Financial Advantage Group funding officer will contact you
within the next 1-2 business days.