Please complete the form as best you can and provide all necessary information, and one of our Program Specialists will get back to you.
Tell Us About Yourself
First Name *
Last Name *
Email Address *
Best Number to Call *
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* Is your Credit Score 680 or Above? YesNo
* Is your Personal Net Worth Greater than $300,000? YesNo
* Is your Status in Canada Either Permanent Resident or Citizen? YesNo
* Have you ever Applied for Business Financing? YesNo
* Which Banks do you Work with? RBCTDBMOScotia BankCIBCNational BankBDCEDCFCCOther
Tell Us About Your Business
* Time in Business Please selectLess than 1 Year1 - 3 Years3 - 5 Years5 - 10 Years11+ Years * Total Company Revenue in the Last 12 Months Please selectStartupLess than $100,000Between $100,000 - $250,000Between $250,000 - $500,000Between $500,000 - $1,000,000$1,000,000+ * Funding Amount Needed Please selectLess than $150,000Between $150,000 - $350,000Between $350,000 - $1,000,000$1,000,000+ * Main Reason for Funding Please selectStart New BusinessBuy Existing BusinessPurchase Hardware/SoftwareImprove or Expand Current BusinessBuy Out Partner/ShareholderPurchase Commercial or Industrial Real EstateOther * How Soon Do You Need Funding? Please selectASAPWithin 1 MonthBetween 3 - 6 MonthsBetween 6 - 12 Months
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