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Need Capital for Your Business?
Use Your Future Credit Card Sales to Get the Cash You Need Today!

EZCash Capital Application

Required Information
*Company Name:
*Contact Name:
*Email
*Phone Number:      Ext:

We would like some additional information on your company. The following is not required but recommended. Please hit submit to apply now!

Contact Information
Address:
Address 2:
City:
State:
Zip:
Phone Number 2:      Ext:
Fax Number:
Best time to contact you

To be eligible for review, you must have been in operation for at least 12 months
Operating Since [mm/yyyy]:
Type of Business:
Yearly Gross Sales:

One of our representitives may ask you to provide 4 - 12 months of credit and debit card sales statements

Additional Information
Monthly Visa/MC Sales:
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