| First Name: |
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| Last Name: |
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| Company (name): |
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| Your title: |
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| Phone: |
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| Email: |
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| What is the best time for us to contact you? |
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| How long have you owned/operated this business? |
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(years) |
| Current Provider/Processor? |
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| How will MERCHANT FAST CASH help your business? |
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| Notice: Cashline Inc. is not a bank and this “Merchant Fast Cash" is not a loan. We purchase future revenue streams at a discount to provide working capital for businesses, which are not willing or able to use conventional channels for funding. |
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