Apply online - Point Capital

We take security seriously at Point Capital. This site leverages https/ssl and AES 256 encryption to safeguard and protect your data in transit and while stored. Sensitive information is encrypted on this form.

Company information
Company name*
Federal Tax ID*
Dun & Bradstreet number*
Date incorporated*
Accounts payable contact name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Primary Contact
Primary contact name*
First Last
Social security number*
Email*
Office phone number*
Cell phone number*
Bank information
Name of bank
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Bank contact name*
First Last
Phone*
Account number*
Trade reference name*
Date account opened*
Authorization
The information contained in this application is accurate and complete, and I am an authorized agent of the company with the authority to complete this application and sign below on behalf of company shown above. I understand that Point Capital LLC may investigate my financial status and the company’s financial status further and request other documents or references from us. This is our authorization to Point Capital LLC to contact the references provided so information can be obtained to consider granting credit privileges to us. In addition, my signature below signifies my approval for my bank and creditors to respond to any credit inquiries regarding this application.
Signature*

This site leverages https/ssl and AES 256 encryption to safeguard and protect your data in transit and while stored.

Company information

Primary Contact

Bank information

Authorization

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