Please note: This application form conveys your interest in pursuing a Merchant Cash Advance with Pinnacle Merchant Advance.

To be eligible for review, your business must process a minimum of $2,500 per month in qualified transactions. Fields marked with an asterisk (*) are required.

1. Business Location

A Sales Representative will contact you to complete this Merchant Cash Advance application process.

Company Name*
Contact Name*
Business Address*
City*
State*
Zip Code*

2. Operational Information

To be eligible for review, your business must process a minimum of $2,500 per month in qualified transactions.

Operating Since*
     
Type of Business*
Yearly Gross Sales*
Monthly Visa/Mastercard*
Cash Usage

3. Contact Information

Phone*
Alternate Phone
Fax
Best time to contact
Email*
How did you hear about us?*
Promotional Code
If you have already spoken to a sales representative, please enter his/her name
Additional Comments

Please note: This electronic application form conveys your interest in pursuing Merchant Cash Advances (also sometimes called Business Cash Advances) with Pinnacle Merchant Advance. Once we receive your electronic application, a Sales Representative will contact you to complete the Merchant Cash Advance application process. By clicking the SUBMIT button, you confirm that you have reviewed and agreed to Pinnacle's Privacy Policy.