Email:
info@avalonfunding.com
Phone:
(949)707-2005
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Application
DOWNLOAD OUR STANDARD
APPLICATION
standard application
DOWNLOAD OUR
CONSTRUCTION APPLICATION
construction application
Kindly fill out the application and submit it to info@avalonfunding.com. You can also fax it to (949) 298-4800.
EXPRESS ON-LINE APPLICATION
Additional Information may be Required upon Initial Review of Your Application.
Company Name*
Street Address*
City*
State*
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip*
Phone*
Email*
Check here to receive email updates
Website*
Type of Business*
Select
Corporation
LLC
Sole Proprietor
Partnership
State in Which Company is Incorporated*
Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Name of Principal*
Name of Principal
Do you have any Federal or State taxes past due?
Yes
No
If yes, list type, quarter/year and amounts
What is your intended use of the funds generated?
Approximate number of customers
Select
1 - 5
6 - 10
11- 15
16 - 20
21 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
Average Monthly Sales (USD)*
Select
1 - 5
6 - 10
11- 15
16 - 20
21 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
Has your business ever acquired financing?*
Do you have any outstanding Merchant Cash Advances?*
Select
Yes
No
I don't know
How did you find out about Avalon Funding Corporation?
Briefly describe you business and financing needs
Articles of Incorporation
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Accounts Receivable Ageing
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Customer List
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