ARF Pre-Qualify Information Form

Welcome to Your Pre-Qualification Form

Thank you for your interest in "FlexPay" and "BankRoll" Please fill out the form below so we can give you the best service when we speak to you.

What type of business do you run? *
N/A

A quick answer like "Restaurant," "Dentist," or "Fashion Designer" is fine!
Is this a home-based business? *
N/A

Please choose the answer that best describes your business operation setting.
Does your business generate at least $200,000 of gross sales annually? *
N/A

Sales (not profits).
Has your business been open and operating under the same ownership for 30 days or longer? *
N/A
How much money are you seeking? *
N/A

FlexPay and BankRoll offer credit lines and working capital from $5,000-$1,000,000.
Name
N/A

Required
Title Required First Name Required Last Name
Title *
N/A
Company *
N/A
Phone *
N/A
Email *
N/A
Your Company Website
N/A
How will you use your credit line or working capital? Anything else you want us to know? *
N/A

Tell us some basics like "buy new equipment" or "hire more people"

Welcome to Your Pre-Qualification Form