Fund me

Please complete this form to get funded

Application Form

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Name

First

Last

Mobile Phone

Home Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Owner Percentage

Date of Birth

Social Insurance Number

Details

Please add all owners details (if applicable)

Business Details

Layout

Legal Business Name

Doing Business As

Layout (copy)

Business Phone

Business Email

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Business Fax

Industry

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Business Start Date

Years in Business

How long has the business been operating under the current ownership ?

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Total Annual Sales

Entity Type

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Requested Amount

5,000$ to 800,000$

Use of Funds Details

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Business Property Ownership Status

Rent/Mortgage Amount

Business Address

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Files

Attachments

Click or drag files to this area to upload. You can upload up to 15 files.

Please provide 6 months of banking.

Terms and conditions

I agree on the following terms :

By checking this box, you agree to the following Terms & Conditions: The Merchant and its owner(s) certify that all information and documents submitted in connection with this Application are true, correct, and complete. Additionally, the owner(s) authorize Sencha Capital or any of its agents, partners, and affiliates to obtain and use business and non-business consumer credit reports from credit reporting agencies and any other information regarding the Merchant and its owner(s) from third parties, both at the time of the initial funding application and at any time after the Merchant has received funding as long as the Merchant remains a client of Sencha Capital. At all times, Sencha Capital will comply with the personal information collection, protection, use, sharing, and retention practices set out in the Privacy Policy, which can be reviewed here: https://senchacapital.ca/sencha-capital-privacy-policy/

(450) 658-9944

info@senchacapital.ca

114-5164 Queen Mary Rd GR-2 Montreal, QC H3W 1X7