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GET A QUICK DECISION ON BUSINESS CAPITAL FUNDING.

Simply complete the quick application form below and we’ll get back to you as soon as possible. We’ll need some financial information from you on your recent trading history so that we can assess the health of your business.

Once we have done that, we can typically give you an approval decision in 2-4 days, so you could have the money in your business account just 72 hours from now.

APPLY NOW FOR A BUSINESS CASH ADVANCE.

If we’re going to be partners, we’d like to get to know you a little better. So, please:

Name *

Email *

Cellphone *

Company Name *

Registered Company Name *

Company Registration Number *

Industry *BarClubRestaurantRetailServicesOther

Province *Eastern CapeFree StateGautengKwazulu NatalLimpopoMpumalangaNorth WestNorther CapeWestern Cape

Physical Address *

Postal Code *

How long have you been trading for? *Less than 6 Months6 Months - 12 Months1 - 2 Years3 - 5 YearsMore than 5 Years

Asset Value of Company *Less than R500 000R500 000 - R700 000R700 000 - R900 000R900 000 - R1 100 000More than R1 100 000

Average Monthly Sales *Less than R150 000R150 000 - R200 000R200 000 - R300 000R300 000 - R400 000R400 000 - R550 000R550 000 - R750 000R750 000 - R1 000 000R1 000 000 - R1 500 000More than R1 500 000

Merchant Terminals *

• Yes

Gross Profit Margin (GP%) *5%-10%11%-20%21%-30%31%-40%41%-50%51%-60%61%-70%71%-80%81%-100%

Are there any pending judgements against the company?

• Yes

Owners/Directors *12345

Funding Needed *R50 000 - R100 000R100 000 - R250 000R250 000 - R400 000R400 000 - R600 000R600 000 - R1 000 000More than R1 000 000

What will you use it for *EquipmentPay BillsExpansionSeason PrepGeneral WCStockNew FranchiseRenovation / RevampMarketing / AdvertisingSpecial ProjectNew Store

Comment or Message

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I am authorised to give consent on behalf of the company, directors and shareholders for EBC to: 1. Perform credit checks for the assessment of the application submitted; 2. Disclose any information to comply with laws and regulations; and 3. Include the name of your organisation in a list of customers

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