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Amount of Funding You'd Like*

How much funding are you looking to recieve?

Entity Type *

What type of business do you have?

What is your company name?**

Company name + DBA

Is your business based in the USA?**

We only fund businesses in the USA

Your Business Address*

Where is your business located?

Date Your Business Started*

When did your business start?

Federal Tax ID or EIN*

Last 4 Business Bank Statements (Including Current Month)*

(You can take a screenshot of all your transactions for month-to-date statements if you cannot download it)

What is your monthly average revenue from those 4 uploaded statements?*

What industry is your business in?*

What is your full name?*

What's the best email to reach you at?*

What's the best phone number to reach you at?*

What is your ownership % in the business?*

What is your home address?**

What is your date of birth?*

Your SSN*

*No hard credit pulls* Submitting this form will not affect your credit.

Apollo Capital Group LLC Funding Disclosure:*

By signing the application form I/We certify the information above is true and understand that making false statements might be considered fraud. Applicant named above hereby authorizes FMR Group LLC dba Apollo Capital Group LLC ("Representative") its affiliates, assigns, agents,banks or financial institution to request and obtain investigative reports submitted by applicant for purpose of obtaining a working capital advance. AUTHORIZATION FORM The Merchant and Owner(s)/Officer(s) identified above (individually, an “Applicant”) each represents, acknowledges and agrees that (1) all information and documents provided to Representative including credit card processor statements are true, accurate and complete, (2) Applicant will immediately notify Representative of any change in such information or financial condition, (3) Applicant authorizes Representative to disclose all information and documents that Representative may obtain including credit reports to other persons or entities including third party lenders (collectively, "Assignees") that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, "Transactions"), and each Assignee is authorized to use such information and documents, and share such information and documents with other Assignees, in connection with potential Transactions, (4) Representative and each Assignee will rely upon the accuracy and completeness of such information and documents, (5) Representative, Assignees, and each of their representatives, successors, assigns and designees (collectively, “Recipients”) are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, or any other information that a Recipient deems necessary, (6) Applicant waives and releases any claims against Recipients and any information-providers arising from any act or omission relating to the requesting, receiving or release of information, and (7) each Owner/Officer represents that he or she is authorized to sign this form on behalf of Merchant. A copy of this authorization may be accepted as an original. The term “Representative” shall mean any funding source looking to offer, make available, or provide to the Merchant access to loans or merchant cash advances based on such Merchant’s future receivables or sales and/or structured with a periodic repayment feature. Owner/Officer(s): AUTHORIZATION FORM The Merchant and Owner(s)/Officer(s) identified above (individually, an “Applicant”) each represents, acknowledges and agrees that (1) all information and documents provided to Representative including credit card processor statements are true, accurate and complete, (2) Applicant will immediately notify Representative of any change in such information or financial condition, (3) Applicant authorizes Representative to disclose all information and documents that Representative may obtain including credit reports to other persons or entities (collectively, "Assignees") that may be involved with or acquire commercial loans having daily repayment features or purchases of future receivables including Merchant Cash Advance transactions, including without limitation the application therefore (collectively, "Transactions"), and each Assignee is authorized to use such information and documents, and share such information and documents with other Assignees, in connection with potential Transactions, (4) Representative and each Assignee will rely upon the accuracy and completeness of such information and documents, (5) Representative, Assignees, and each of their representatives, successors, assigns and designees (collectively, “Recipients”) are authorized to request and receive any investigative reports, credit reports, statements from creditors or financial institutions, verification of information, or any other information that a Recipient deems necessary, (6) Applicant waives and releases any claims against Recipients and any information-providers arising from any act or omission relating to the requesting, receiving or release of information, and (7) each Owner/Officer represents that he or she is authorized to sign this form on behalf of Merchant. A copy of this authorization may be accepted as an original. The term “Representative” shall mean any funding source looking to offer, make available, or provide to the Merchant access to loans or merchant cash advances based on such Merchant’s future receivables or sales and/or structured with a periodic repayment feature. By applying for a loan or any other financial service through Apollo Capital Group LLC, you consent to receiving communications from us through various channels. This includes: Email: We may send you informational and promotional emails regarding your application, loan offers, updates, and other relevant information. Phone Calls: Our representatives may contact you via the phone numbers provided in your application to discuss your application, provide loan offers, and offer support. Text Messages (SMS): We may send you text messages for quick updates, reminders, and promotional information related to your application and our services.

Apollo Capital Group LLC Funding Disclosure:*

Owner One Signature

Clear

Owner Two Signature

Clear

1. Amount of Funding You'd Like

2. What is your Company name

3. Your business address?

4. Your business address?

5. Date your business started

6. Federal Tax ID

7. Last 4 business transactions

8. What is your monthly average revenue?

9. What industry is the company in?

10. What is your full name?

11. What is your email address?

12. Phone number?

13. What is your ownership share %?

14. What is your home address?

15. What is your home address?

16. What is your home address?

17. What is your home address?

18. What is your home address?

19. What is your home address?

Small Business Financing from ACG

Please provide us some basic information and a funding specialist will reach out to you shortly to discuss the next steps.

Personal Information