Request for Financial Services
Company Name*
First Name*
Last Name*
Company Address*
City*
State*
Zip Code*
Telephone*
E-mail*
How long has your company been in business?*
Less than 1 year
1-3 years
4-7
8-10 years
More than 10 years
What is your business type?*
Corporation
Sole Proprietorship
Partnership
Other
What products does your company manufacture/sell?*
What countries of export interest you?
Is your business profitable?
Yes
No
Does your business have a positive net worth?
Yes
No
Has your business ever exported in the past?
Yes
No
What type of financing does your company require?*
Pre-shipment (inventory)
Post-shipment (accounts receivable)
Both
How much are your company's export sales in dollar value?
How much are your company's domestic sales in dollar value?
What is your company's typical gross margin on product sales (i.e. sales - cost of sales)?*
Currently, are there foreign buyers ready to purchase your company's products?*
Yes
No
What are your company's typical terms of sale?*
What is the typical sales amount to your company's customers?*
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