Apply – Altium Funding

Step 1 of 2

Legal Business Name

Doing Business As (DBA)

Postal / ZIP Code

Country

Industry

Entity Type

Time in Business

Average Monthly Revenue

Funding Amount Requested

Terms Name Time

Do you process credit cards?

Authorization

I am authorized to apply for financing on behalf of this business

First Name

Last Name

Title/Role

Ownership %

Mobile Phone

Preferred Contact Time

Address

Address Line 1

Address Line 2

City

State

Zip Code

Soft credit inquiry only. Pre‑qualification may use a soft pull and will not affect your personal credit score. If you proceed with an offer, a hard inquiry may be required by a lender.

Consent to Terms & Privacy and ESIGN

By submitting, I agree to the Terms of Use and Privacy Policy and consent to receive required disclosures electronically (ESIGN).

Soft Credit Inquiry Authorization

I authorize Altium Funding and its financing partners to obtain a soft credit inquiry and other consumer reports to evaluate my application. I understand a hard inquiry may be required if I proceed with an offer.

Information Sharing Authorization

I authorize Altium Funding to share my application data with selected financing partners solely to obtain and present financing offers.

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