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What is the Total Amount of Your Desired Purchase?
$500 minimum
How Long Have You Been in Business?
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True Startup (Not Yet Running)
Newer Business (Under 2 Years in Business)
Existing Business or Farm (Over 2 Years in Business)
What is Your Estimated Personal Credit Score?
(Required)
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Poor (Below 600)
Fair (600+)
Good (650+)
Very Good (700+)
Excellent (750+)
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First and Last Name
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Phone Number
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Email Address
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