MCA FUNDING – LION KING NETWORK GROUP INC,

MERCHANT CASH ADVANCE

FIRST NAME AND LAST NAME *

DATE OF BIRTH *

% OF OWNERSHIP *

SSN # *

Email Address *

Confirm Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

2 ND OWNER/PRINCIPAL INFORMATION *

DATE OF BIRTH *

% OF OWNERSHIP *

SSN # *

Email Address *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

BUSINESS NAME *

DOING BUSINESS AS D/B/A *

BUSINESS START DATE *

BUSINESS TAX ID# *

Business Email Address

Confirm Email Address

Website

YOUR PHONE NUMBER *

YOUR BUSINESS PHONE NUMBER *

TYPE OF BUSINESS/ PLEASE DESCRIBE WHAT TYPE OF BUSINESS YOU OPERATING *

PLEASE SELECT ONE

PLEASE UPLOAD YOUR DOCUMRNTS *PLEASE UPLOAD A BUSINESS VOIDED CHECK, DRIVER LICENSE. AND THREE MONTHS BANK STATEMENT.

AMOUNT REQUESTED *

USE OF PROCEEDS *

TOTAL MONTHLY SALES (ALL FORM OF REVENUE) *

DO YOU CURRENTLY HAVE A CASH ADVANCE? IF YES, HOW MUCH?

YOUR BALANCE? *

HOW MANY LOCATIONS DO OWN *

ARE YOU A NEW BUSINESS

WHAT IS YOUR CREDIT SCORE

YOUR BUSINESS ALREADY ACCEPTING CREDIT CARD

WHICH IS MOST IMPORTANT TO YOU?

PLEASE LET US KNOW WHY YOU CHOOSE US OR WHAT YOU DON'T LIKE ABOUT YOUR CURRENT EQUITMENT AND YOUR PROCESSING COMPANY *

WHO REFER YOU/ INDEPENDENT BROKER AGENT REPRESENTATIVE

HOW DID YOU HEAR ABOUT US