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Company Type
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Limited Company
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Company Name *
First Name *
Last Name *
Email *
Phone Number *
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Please Enter Your Business Address *
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Is your trading address same as your business address? *
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Please Enter Your Trading Address *
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Number of Trading Locations
What is your industry?
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Agriculture
Apparel
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Energy
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Not For Profit
Recreation
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Transportation
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Employment Services
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Other
When did your business start trading? *
Does your business take card payments? *
Yes
No
What are your credit/debit card takings per month?
Does your business take a minimum of 10 card payments per month? *
Yes
No
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How much funding does your business need?
How long is it needed for?
What is the purpose of the funding? *
Business Expansion
Unexpected Bills
Working Capital
Buy-outs
Buy-ins
Business Growth
Other
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Please Enter Your Residential Address *
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Are you a property owner in England or Wales? *
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Please Enter the Details of the Property You Own *
Same as above
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I authorise Nucleus to perform credit reference agency searches on the named business and applicant, their financial associates and businesses. A record of this search will be recorded against all applicants and may be seen by other companies if they carry out a credit enquiry.*
Yes
I agree to Nucleus engaging with my card provider*
Yes
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