Pre-Qualification Form

Application and qualification process is free!

1 Business Information

2 General Information

3 Business Owner Details

4 Authorization

5 Contact & References

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Authorization
Authorization:
The Merchant, Owner(s)/Officer(s) identified above (individually, an “Applicant”) each represents, acknowledges, and agrees that: (1) All information and documents provided to Bull Market Capital are true, accurate and complete. (2) Applicant will immediately notify Bull Market Capital of any change in such financial conditions. (3) Bull Market Capital is authorized to request and receive any investigative reports, statements from creditors or financial institutions, verification of information, or any other information that Bull Market Capital deems necessary. (4) Applicant waives and releases any claims against Bull Market Capital and any information-providers arising from any act or omission relating to the requesting, receiving or release of information. (5) Each Owner/Officer represents that he or she is:
Owner/Officer's Name: (#1)*
Owner/Officer's Signature: (#1)*
Date*
Owner/Officer's Name: (#2)
(if applicable)
Owner/Officer's Signature: (#2)
(if applicable)
Date

(if applicable)

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For more information please call Maria C. Lepera at (718) 594 – 6380 or email her at marial@bullmarketcap.com.