Download Quick Application Acrobat Reader required for printing

Quick Application 

 

To qualify for accounts receivable funding, you must have a minimum of $150,000 in annual receivables or house charges and your business must be creditworthy. 

It's easy to begin the application process for accounts receivable funding or management services.  Simply complete the application form below. You can apply on-line or download a printable version of our application, complete it and fax to (516) 868-7178. 

Once we receive your application, a representative will contact you within 48 hours to discuss a financial program specially designed for your business.

If you prefer, click here to Email us the best time and day to contact you.


      

* Necessary Fields

*Merchant Corp. Name *
D/B/A *
Contact Name *
Industry Type *
Address *
City *
State, Zip *
E-Mail Address *
Tel. # *
Tax I.D. # *
Number of customer bills mailed each month
Average annual receivables: $
Are your receivables pledged as collateral?  *
Where did you hear about us?


Home
| About Us | Financial Services | Technology | Integration |
News | Partners | Endorsements | FAQ
Contact Us
| Small Business Center | Client Login | Apply Today | Learn More


Legal Notice | Privacy Statement | Site Map

© 2000, 2001, 2002 MyReceivables.com/CDS Companies


free e-zine apply today learn more customer login