Working Capial Factoring-Quick Quote

Quick Quote

Quick Quote is a service providing companies with a fast estimate (usually within one business day) of what it would cost them to factor their accounts receivable with Working Capital Company.

Simply fill in the fields below and let us do the rest.

* required fields

How did you hear about Working Capital Company?

*Name of Company :

*Street Address :

*City :

*State :

*Zip:

*Phone :

*E-Mail :

*Contact Name :

*Title :

*Type of Business :

*Year Started :

*Average Monthly Sales $:

*Average Monthly Factoring Needs $ :

Factoring History (please check one)

	Never Factored Before
	Factored in Past
	Currently Factoring

Approximate Customer Count:

Average Invoice Size or Range:

Comments/Special Considerations:

Please list the following information on the largest dollar volume customers that you intend to factor. No customers will be contacted for calculating your quote.

Customer One
Customer Name
Address
City
State
Monthly Sales
Average Invoice

Customer Two

Customer Name
Address
City
State
Monthly Sales
Average Invoice

Customer Three

Customer Name
Address
City
State
Monthly Sales
Average Invoice

Customer Four

Customer Name
Address
City
State
Monthly Sales
Average Invoice

Customer Five

Customer Name
Address
City
State
Monthly Sales
Average Invoice

Customer Six

Customer Name
Address
City
State
Monthly Sales
Average Invoice

**Please keep in mind that while Working Capital Company does its best to give the most accurate quotes possible with Quick Quote, Working Capital Company must complete its due diligence and receive a completed application and supporting documentation to render a firm rate quote. Quotes given through Quick Quote are based solely on the information given above. No credit agencies or customers are contacted for quotes given through Quick Quote.

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985 Moraga Road, Suite#210 | P.O. Box 7007 | Lafayette, CA 94549 | Phone 925-283-4433 | Fax 925-283-7755 | www.working-capital.com | info@working-capital.com

Working Capital offers accounts receivable financing in the following states: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida,
Georgia, Hawaii, Idaho State, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana,
Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South
Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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Factoring