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Kapitus

Sales Partner
Program Application

Complete the simple 3-5 minute application to begin the sign-up
process for the Kapitus Partner Program

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Sales Partner Program Application

Business Owner Details

First Name(Required)

Last Name(Required)

Email(Required)

Date of Birth*(Required)

MM slash DD slash YYYY

Business Address(Required)

Home Address City State Zip/Postal Code*

Last 4 Digits of SSN*(Required)

Sales Partner Program Application

Company Details

Company Name*(Required)

Company Phone*(Required)

Address*(Required)

Business Address* City State* Zip/Postal Code*

Company Type*(Required)

Tax ID*(Required)

State of Incorporation*(Required)

State of Incorporation*

Primary Business Activity*(Required)

Time in Business*(Required)

MM slash DD slash YYYY

Websites*

Number of Sales People*(Required)

Sales Partner Program Application

Lending Experience

Do you currently work with other lenders?*(Required)

What lenders are you currently working with?*(Required)

Monthly volume (new) with all MCA/Short term loan lenders?*(Required)

Monthly volume (new) with Tier 1 lenders?*(Required)

What products do you currently offer customers?*(Required)

Select all that apply.

None

Cash Advance

Equipment Financing

Short-Term Loans

Line of Credit

Commercial Real Estate Financing

A/R Financing

Mortgage

Anticipated number of applications/leads per month?*(Required)

How did you hear about Kapitus?*(Required)

Please specify(Required)

Please provide the name and email of two industry related references*(Required)

How do you acquire and communicate with your customers?*(Required)

Select all that apply.

Email Marketing

Social Media

Events

Direct Mail

Website Marketing

Referrals

Media Advertising

Paid Search

List Acquisition

Other

hCaptcha(Required)

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Copyright 2024 Strategic Funding Source, Inc. All rights reserved. Kapitus and the Kapitus logo are registered trademarks of Strategic Funding Source, Inc. Loans made or brokered in California are made or brokered pursuant to California Finance Lenders License No. 603-G807.

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