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Factoring Application

o submit your application for Factoring, please fill out the application below and then click on submit. We will be in contact with you in 1 hour or less during business hours. If you prefer to fax simply print the application and fax to: 440-286-3193

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

Your Name
Mobile Phone 
Your Product or Service
Average Monthly Sales
Total Accounts Receivable Now
Amount 0-30 Days
Amount 31-45 Days
Amount 46-60 Days
Over 60 Days
Average Number of Monthly Invoices

Any Additional Information or Comments

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