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First Name
Last Name
Phone
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Email
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What type of business do you have?
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How long have you been in business
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Less than 6 months
6 months to 2 years
More than 2 years
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What is your average monthly revenue?
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Under 10k
10k to 20k
over 20k
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What is your annual income?
What is your annual income?
$0 - $39,999
$40,000 - $59,999
$60,000 +
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How much funding are you seeking?
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What is your personal credit score?
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Below 600
600 to 700
Over 700
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What is your highest limit credit card?
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How many primary accounts do you have?
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