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To submit your application for Factoring, please fill out the application below and then click on submit application. We will be in contact with you in 24 hours or less. If you prefer to fax simply print the application and fax to: 440-286-3193


Your Name *

Company Name *

Phone *

Cell Phone

Your Product or Service

Average Monthly Sales

Total Accounts Receivable Now

Amount 0-30 Days

Amount 31-45 Days

Amount 46-60 Days

Amount Over 60 Days

Average Number of Monthly Invoices

Email *

Any Additional Information or Comments


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Company Name:




In most cases all you need to qualify for factoring is valid
invoices for business to business or government customers


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