Funding Needs

Business

Owner

Financing

Review

Sign & Submit

Please complete all required fields and correct the highlighted information before continuing.

Step 1 of 6

Funding Needs

Tell us about your business financing needs.

How much funding do you need? *

$250,000

$10,000 $5,000,000+

How long have you been in business? *

1–3 Months

4–12 Months

1–2 Years

3–4 Years

5+ Years

Looking to Acquire a Business

Haven’t Started My Business Yet

What are your annual gross sales? *

$0–$11,999

$12,000–$19,999

$20,000–$119,999

$120,000–$599,999

$600,000–$1.7M

$1.8M–$4.7M

$4.8M–$11M

$12M–$30M

More Than $30M

Step 2 of 6

Business Information

Tell us about your business and how we can identify potential financing opportunities.

Select Your Business Industry *

Business Legal Name *

DBA / Trade Name

Business Start Date *

Business Entity Type *

Federal Tax ID / EIN *

State of Incorporation / Organization *

Business Phone *

Ownership Percentage *

Business Address

Street Address *

Suite / Unit

City *

State *

ZIP Code *

5-digit U.S. ZIP Code

Step 3 of 6

Owner Information

Please provide information for the primary business owner or applicant.

First Name *

Last Name *

Email Address *

Mobile Phone *

Home Address

Street Address *

Apartment / Unit

City *

State *

ZIP Code *

5-digit U.S. ZIP Code

Date of Birth *

Social Security Number *

Your SSN will be masked on the review screen.

Step 4 of 6

Existing Financing

Tell us about any current business financing obligations.

Does your business currently have an existing business loan or financing? *

Yes

Step 5 of 6

Review & Authorization

Please review your information carefully before continuing.

I acknowledge that I have reviewed the information above and certify that the information I provided is true and accurate to the best of my knowledge. I acknowledge the applicable Terms and Conditions and Privacy Policy , and authorize Millions Brand Inc. to use and share the information I provide with applicable third-party service providers, lending partners, or financing providers as necessary to evaluate my inquiry and identify potential financing opportunities.

Step 6 of 6

Sign & Submit

Complete the final steps to submit your application.

Electronic Signature *

Type your full legal name as your electronic signature.

Upload Your Most Recent 6 Months of Business Bank Statements

Accepted formats: PDF, JPG, JPEG or PNG.

I certify that the information submitted in this application is complete and accurate to the best of my knowledge and that I am authorized to submit this application on behalf of the business.

Security Verification *

Please complete the security verification before submitting your application.

✓

Thank You for Submitting Your Application!

Your Application ID

Please save this number for your records.

A Business Finance Advisor will be reaching out to you shortly, so please be sure to answer your phone.

We want to understand your business challenge or opportunity so we can help identify appropriate lender and financing options.

🔒 Your information should be transmitted and stored through a secure application system before this form is used for live submissions.

IMPORTANT INFORMATION

Millions Brand Inc. provides business consulting and support services, including funding readiness support, strategic guidance, and assistance in identifying potential financing resources. Millions Brand Inc. is not a lender and does not directly make credit or financing decisions.

Millions Brand Inc. does not guarantee financing, loan approval, funding amounts, interest rates, repayment terms, or approval by any lender or financial institution.

Financing applications, underwriting, eligibility determinations, approvals, rates, fees, terms, and funding decisions are made independently by the applicable lender or financing provider and may be subject to credit review, business performance, documentation, underwriting requirements, and other applicable conditions.

Where Millions Brand Inc. introduces a client to a third-party lender or financing provider, the availability and terms of any financing remain subject to that provider’s independent evaluation and approval.

Lender Relationship Disclosure: If Millions Brand Inc. receives referral fees, commissions, marketing fees, or other compensation from a lending or financing partner in connection with a client referral, any disclosures required by applicable law or the applicable financing program should be provided to the client.

Millions Brand Inc

Funding Needs

How much funding do you need? *

How long have you been in business? *

What are your annual gross sales? *

Business Information

Business Address

Owner Information

Home Address

Existing Financing

Does your business currently have an existing business loan or financing? *

Review & Authorization

Sign & Submit

Upload Your Most Recent 6 Months of Business Bank Statements

Thank You for Submitting Your Application!

IMPORTANT INFORMATION

Quick Links

Consulting Services

Head Office Address

Days Open