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APPLICATION FORM
How much finance do you need?
What is the finance for?
Please Select
Cash flow
Equipment repairs
Debt refinancing
Seasonal trading
New Contract
Facilities improvement
Other cashflow or working capital
Asset purchase
Transport vehicles\construction vehicles
Construction equipment
Machinery
Printing equipment
Agricultural equipment
Other asset purchase
Property
Bond of business premises
Property development finance
Bridging loan
Other property
Long term finance
Launch a new business line
Deliver on new contract
Expand existing business
Other long term finance
Turnaround
Replace an existing funder
Fund a merger or acquisition
Other turnaround
How quickly do you need the finance?
In the next few days
In the next fortnight
In the next few weeks
In the next few months
Which best describes your sector?
Please Select
Agriculture, forestry & fishing
Arts, entertainment and recreation
Business services
Charities & Social enterprises
Construction
Education
Electricity & Gas supply
Financial services
Health & Social work
Hotels & Restaurants
Manufacturing
Mining & Quarrying
Other activities
Professional services
Public administration
Real estate & Renting
Technology & communications
Transport & Storage
Water supply & treatment
Wholesale & retail trade
How long do you need the finance for?
A few weeks
A few months
A few years
More than 5 years
How established is your business?
Please Select
Haven’t started trading yet
Fewer than 6 months of revenues
Revenues of 6 - 9 months
Revenues of 9 - 12 months
Revenues of 1-2 years
Revenues of 2-3 years
Revenues of 3-4 years
Revenues of 4-5 years
Revenues of 5-10 years
Revenues of more than 10 years
How profitable is your business?
Please Select
Current loss making
Yet to make first profit
Approaching profitability
Slightly profitable
Comfortably profitable
Do customers trade with on credit?
Please Select
Never
It’s a small part of my sales
It’s a significant part of my sales
Its most of my sales
What is your typical monthly turnover?
What is your typical revenue through a card machine?
Do customers trade with you on credit?
Yes
No
What is the legal status of your business?
Please Select
Pty Ltd
CC
Trust
Other
Business Name
Company Number
First Name
Surname
Email
Telephone
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