Contact 1 — J&D

Contact us.

Want to learn more about our services and how J&D can help fund your growth? Contact us by filling out the form here or emailing us directly at info@jdfinancial.com

Ready to apply? Simply download the application or fill out the fields below to get started.

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Company Name:

Trade Style/Fictitious Name(s):

Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone:

(###)

###

####

Email:

Website

http://

Contact Person:

First Name

Last Name

Contact Person Position:

Type of Business:

Manufacturer

Wholesaler

Other

Brief Description of Business:

State of Incorporation/Formation:

Date Established:

MM

DD

YYYY

Additional Office Locations:

If Yes, Location of Additional Office(s):

Average Monthly Billing:

$

% of Which You Wish to Factor:

Estimated Total Annual Sales:

$

Are Receivables or Inventory Pledged as Collateral?

Other Lenders Used in the Past or Currently Using:

Referred By:

First Name

Last Name

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