PRE-APPROVAL
CONTACT INFO
BUSINESS INFO
Time in Business Start Up1-5 months5-11 months1-2 years2-5 years5+ years
Annual Revenue $0, No RevenueBelow $50,000$50,001-$100,000$100,001-$250,000$250,001-$500,000Over $500,000
Credit Quality (499 or below) Poor(500-599) Not so Good(600-649) Okay(650-679) Good(680-719) Great(720 or Higher) Excellent
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Phone:(516) 464-3564
Email:contact@blueskycapitalfunding.com
Business Name
First Name
Last Name
Email Address
Phone Number
Street Address of Business
City
State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
ZIP Code
What industry are you in? Agriculture/FarmingAuto RepairAuto SalesBusiness Services (General)Car Sales (New/Used)Construction/ContractingEducationFinancial ServicesGeneral Products SalesHospitality Services/Hotel/MotelHVAC/Electrical/PlumbingInsurance/ServicesLandscaping/Lawn & Garden ServicesLegal ServicesManufacturingMedical Office/Health ServicesReal Estate/Property ManagementRestaurant/Food ServicesRetailTax ServicesTransportation Services
Ownership Percentage
Is your business home based? YesNo
Owner Date of Birth?
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