FTRANS: Apply for Accounts Receivable financing

Accounts Receivable Financing Helps Small Businesses Grow

Thank you for your interest in FTRANS.

By completing the short survey below, FTRANS will be able to assess your needs and provide you with a recommendation and proposal. Please fill out as much information as possible. An FTRANS representative will contact you by the next business day.

We look forward to helping you significantly improve your cash flow. If we can be of further service, please call 678-268-4033.

Please provide the following information to help us assess your financing needs.

Company Name:*
Description of business:
Street Address:*
City:*	State / Postal Code:*
Phone number:*	Fax number:
Email address:*	Company website:
Your typical customers Consumers Other businesses Both	SIC / NAIC:
Type of Organization: Corporation LLC Other	State of legal organization
Federal Employers ID:	DUNS Number:
Sales in 2009*	Estimated Sales in 2010
Name of Owner/CEO/President:*
Owner's Home Address:*
City:	State / Postal Code:
Current Lending Arrangements or other liens on A/R?








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