Loan Application Form (AF-1) "*" indicates required fields Name* First Last This field is hidden when viewing the formFirst Name*This field is hidden when viewing the formLast Name*Email* Phone*Business Name*Financing Type You Are Looking For*(Select financing type)Short Term LoanEquipment FinancingLine of CreditKingsmen ExpressI'm not sure yetTime in Business (must be a minimum of 6 months in operations to qualify.)*6-12 months1-3 years3-5 years5 years+Requested Loan Amount$10k - $50K$50k - $100k$100k - $250k$250k - $500k$500K +Annual Gross Revenue*$50,000 - $100,000$100,000 - $300,000$300,000 - $500,000$500,000 - $1,000,000$1,000,000 - $3,000,000$3,000,000 + IndustryAgricultureArts, and EntertainmentConstructionE-CommerceEducationFinanceHealth CareInformation and Cultural IndustryInsuranceManufacturingMiningOil and GasReal EstateResearchRestaurantRetailSpa and SalonSubcontractingTechnology and InnovationTourismTransportation and LogisticsWarehousingOther -Industry Type(since you stated other)Preferred Language -English (Default)Quebecois FrenchPreferred Contact Method -Phone CallText / SMSEmailAny / AllAdditional Notes (optional) -Terms* By providing my contact details, I agree to receive communications from Kingsmen Capital and accept their Terms & Conditions / Privacy Policy.
