# Merchant Financing application

We are excited to help you move your business forward!

## Application Details

- **Company Name**: 
- **Are you a Stronghold Merchant?**: Yes / No
- **First Name**: 
- **Last Name**: 
- **Phone Number**: 
- **Email**: 
- **Average Total Monthly Sales**: 
- **Your intended use of the cash**: Please select from the list below:
  - Inventory
  - Equipment
  - Expansion
  - Renovation
  - Debt Pay Off
  - Refinancing
  - Marketing
  - Hiring
  - Payroll
  - Pay Taxes
  - Other Working Capital

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## Note

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