Apply for Funding — Zion Consolidated

Business funding application

The more complete this is, the faster I can get you a real offer. Everything is encrypted and reviewed personally.

Funding request

What you're looking for and your top-line numbers.

Amount requested *

Use of funds *

Gross annual revenue *

Average monthly sales *

Federal Tax EIN # *

Business information

Legal details for your business.

Business legal name *

DBA (if any)

Physical address *

City *

State / Zip *

Mailing address (if different)

City

State / Zip

Entity type *

Corporation LLC Limited Liability Partnership Sole Proprietorship Partnership

Business start date *

Industry type *

State of incorporation

Monthly rent / mortgage

Current credit card processor

Website

Business phone *

Preferred contact number *

Owner / officer

Details for the majority owner. Your information is encrypted and never sold.

Owner / officer name *

% ownership *

Title *

Legal first name *

Legal last name *

Date of birth *

Social Security # *

Cell phone *

Email *

Home address *

Second owner / officer

Owner / officer name

% ownership

Title

Legal first name

Legal last name

Date of birth

Social Security #

Cell phone

Home address

Existing financing

List any current MCA or other business loan debt, with balances if you know them.

Bank statements

The one thing I need to lock in your offer.

Upload your last 4 months of statements PDF, JPG or PNG — tap to choose files

Authorization & signature

Please read and sign to submit your application.

By signing below, each business and business owner/officer listed above (individually and collectively, "you") authorizes Zion Consolidated and its representatives, successors, assigns, designees, and funding partners ("Recipients") that may be involved with or acquire commercial financing having daily or weekly repayment features or purchases of future receivables, including merchant cash advance transactions and the applications therefor (collectively, "Transactions"), to obtain consumer, personal, business, and investigative reports and other information about you — including credit card processor statements and bank statements — from one or more consumer reporting agencies such as TransUnion, Experian, and Equifax, and from other credit bureaus, banks, creditors, and third parties. You authorize Zion Consolidated to transmit this application and any information obtained in connection with it to any or all Recipients for these purposes. You consent to the release, by any creditor or financial institution, of any information relating to you to Zion Consolidated and each Recipient. I am providing my business cell phone and business email address and consent to receive correspondence and messages regarding Transactions with Zion Consolidated and/or its affiliates on either medium. I consent to receive text messages, knowing that message and data rates may apply; I understand that consent to receive texts is not a condition of approval, and that I can expect approximately 10 messages per month. I/we certify that all information contained herein is complete, true, and accurate.

Type your full name to sign *

Typing your name serves as your electronic signature under the ESIGN Act.

Date *

Your information is encrypted and never sold.

Something went wrong sending your application. Please call or text me at (929) 596-6462 and I'll take care of it.

Application received.

I'll review it right away and call you shortly with your offer.

If you didn't attach your last 4 months of bank statements yet, just reply to my text — that's the one thing I need to lock in your numbers.