AR Financing Sample

POS Leadid:  75222

Accounts Receivable Financing

What type of receivable are you interested in?:  Medical

Rate your credit History:  Excellent

How many years have you been in business?:  5+ Years

Amount needed:  $50,000

Customer Information

Full Name:  John ***********

Your Company Name:  **********

City:  Orono

State:  ME

Zip:  04456

Email Address:  ***********@hotmail.com

Primary Phone:  ***-***-3417

Secondary Phone:  

Best Time To Contact:  Morning