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Capital Qualification Form

By completing this form David Allen Capital, Inc will be able to pre-qualify and assess which provider will best achieve your needs. We will then contact you to discuss capital options, answer questions, and complete the application.

Fields marked with an * are required

How Much Money Do You Want?*
Approximate Yearly Sales*
How Long Have You Been In Business?*
How Many Deposits From Sales Do You Have Going Into Your Business Checking Account Each Month (Includes Merchant Processing Deposits)*
Number of NSF's (bounced checks) And/Or Number Of Days Balance Was Below $0 In The Last 90 Days*
Your Company Name*
State Your Business Is Located In?*
Nature Of Business?*
Owner's First Name*
Owner's Last Name*
Owner's Email Address*
Owner's Mobile Phone Number*
Owner's Office Phone Number*
Does Your Company Have An Existing Merchant Cash Advance or Daily Payment Loan?*
Security

ABOUT US

We empower business owners to grow their company or get out of a pinch with simple and fast capital from $10,000 to $500,000.

OUR PROVIDERS

We represent more than forty transparent, top-rated, and quick-turnaround capital providers who want to work with owners.

OUR CLIENTS

We work in the unique space of small business with over 700 industries represented.