Apply For Funding – gracefunders.com

*Legal Business Name:

DBA:

*Entity Type:

*Business Start Date:

*Employer Identification Number:

*Business Physical Address:

*Business Physical Postal Code:

*Phone Number:

Website:

*Industry:

Requested Amount ($):

Use of Funds:

*First Name:

*Last Name:

*Email:

Other Email:

*Ownership %:

Home Address:

Home Address Postal Code:

*Mailing Address:

*Mailing Address Postal Code:

*SSN:

*Date of Birth:

*Phone Number:

Please upload your FOUR most recent bank statements in order to continue the evaluation process

*Upload FILES:

Review Terms & Conditions to Continue:

Authorizations: By signing below, each of the above listed merchant and merchant owner certifies that Applicant is authorized to submit the application...

I AGREE TO THESE TERMS & CONDITIONS

I AGREE TO THIS PRIVACY CONSENT