Full Name

Phone Number

Email

What is your Credit Score What is your Credit Score Above 640 Below 640

How Much Access Do You Have To Credit Cards/Credit Lines? How Much Access Do You Have To Credit Cards/Credit Lines? Below $10K $10k-$15k $15k-$25k $25k+

How Much Liquid Cash Do You Have?* How Much Liquid Cash Do You Have?*Below $10K$10K-$15K$15K-$25K$25K-$50K$50K-$80K$90K-$100K$100K+

What Is Your Yearly Income?* What Is Your Yearly Income?* Less than $50K $50K-$100K $100K-$220K $250K+

Investing Experience?* Investing Experience?* Have never invested in a business Have invested in a business (1-2 years) Have invested in a business (3 years +)