Not Interested at this Time Name Business Name (DBA) I'm not interested because...I do not want to borrowI am looking for cheaper terms and ratesI already received funding from another companyI already applied with another funding companyI do not have time to applyI do not think my business will qualifyI do not need funding right nowOther Other: Do you see any time in the future where you can benefit from working capital?Please select... Yes No When would you like to be contacted? Preferred Method of ContactBusiness PhoneCell PhoneE-mailFaxSMSAdd a new preferred method of contact Business Phone Cell Phone Email Fax Number How would you like to be contacted? Best time to call9AM10AM11AM12PM1PM2PM3PM4PM5PM TimeZonePlease select... East Central Pacific Mountain West Unknown Additional Comments Internal Use Sales StagePlease select... Not Interested -Doesnt want to borrow Not Interested - Looking for cheaper terms and rates Not Interested - Other Reason(s) Discussion notes (for resubmit) Renewal notes (for resubmit) Need assistance with this form?
