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Pre-Qualification Form
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Home
Small Business Loans
Business Cash Advance
Credit Card Processing
APPLY NOW
Pre-Qualification Form
Reduce your Credit Card Processing Fees
Please, complete the form provided below, a customer service representative will contact you to continue the application process and get your FREE analysis!
*
Indicates required field
Name of person filling application
*
Exact Legal Company Name
*
Doing Business As (DBA)
*
Business Ph. Number
*
Cell Ph. Number
*
Name of the Sales Rep. working with you?
*
What is the name of Orbit Financial Services Sales Rep. ?
Email Address
*
Website
*
Select Company Type (Corp., LLC, etc.)
*
Corporation
LLC
Other Company type
Provide other Company Type
*
Business Type (Select One)
*
Vape Shop
Smoke shop
Vape Wholesale
Smoke Shop Wholesale
Online Store - Vape Only
Online Store- CBD/Delta-8
Liquor Stores
Convenient Stores
Other Retail Business
If More than one option applies please let us know in the comments section below.
Comments
*
If Other please explain, or if you would like to give more detail on your business please do so here.
Physical Address of the business
*
Line 1
Line 2
City
State
Zip Code
Country
Bill Address if not same as above
*
Line 1
Line 2
City
State
Zip Code
Country
Upload 3 or 6 months credit card processing statements ⬇️⬇️
Upload 3 months Bank Statements (A single PDF file, OR use additional upload tools below)
*
Max file size: 20MB
If your 3 months Bank Statements are combined in a single PDF file, then you are OK. Otherwise, please, use additional upload tools below for each single PDF file.
Upload another Bank Statement
*
Max file size: 20MB
Use this upload if the three bank statements are not in a single PDF file in the above upload tool(s).
Upload another Bank Statement
*
Max file size: 20MB
Use this upload if the three bank statements are not in a single PDF file in the above upload tool(s).
When you click
SUBMIT
below you are hereby agreeing and accepting to provide all of the above information online that may be considered by you and all shareholders of the company to be confidential and personal.
Submit
Home
Small Business Loans
Business Cash Advance
Credit Card Processing
APPLY NOW
Pre-Qualification Form