Factoring Quote

Fill out the questions below the best you can.

Don’t worry if you don’t have exact answers – an expert will contact you shortly to determine your needs and the best solution.

  1. How much in new accounts receivable do you want to factor every month? [Required]
    [?]
  2. What is the average invoice amount for the receivables you wish to factor? [Required]
  3. What is the historical average timeframe needed to collect on these accounts receivable? [Required]
  4. What type of customer invoices will you be factoring? [Required]
  5. What type of product and/or service do you sell? [Required]
  6. How much in active or existing claims do creditors have on your accounts receivable? [Required]
  7. When was your business established? [Required]
  8. What were your company’s total revenues over the past 12 months? [Required]
  9. What is your office zip code? [Required]
  10. What is your email address? [Required]
  11. Please describe in detail any additional requirements you have.

Please enter your contact information and address.

Company Name:

Company Industry:

Title/Function:

Number of Employees:

First Name:


Last Name:

Phone Number:


Ext: [Optional]

Street Address:

City:


State:


Zip Code: