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Thank you,
FACTOR FUNDING COMPANY

Your Funding Needs

1.   Please tell us the type of funding assistance you need.       2. How much do you need?       3. When do you need to be funded?       4. Have you or are you working with other lenders? If so, who?       5. What specific difficulties have you encountered?       6. What types of goods or services does your company provide?       7. How long has your company been in business?       8. What's your organizational format?     Please Select Sole Proprietor Partnership Corporation LLC Other, please specify Other:   9. How were you referred to us?

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