Full application | Peerfunder

Loan Information

Type of Loan*

Revenue Share (Small Business)
Crowdfund Loan

Funding Amount Requested*

Funding Amount Requested in CAD*

Revenue Share Loans are only available in Canada (excluding Quebec)

Preferred Currency*

Use of Funds*

Qualify for Pre-Campaign Ad Spend Financing

We will review your application and let you if you qualify for this kind of financing.

I would like to qualify.

Contact Information

Name*

Title First Last

Email*

Business Information

Business Name*

Date Business Commenced*

Business Type*

Corporate ID Number

Business Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Annual Revenue in 2016*

Annual Net Profit in 2016*

Industry

Business Homepage

Crowdfund Campaign Information

Crowdfunding Portal

Crowdfund Campaign Website

Financial Information

Financial Institution*

Type of Account*

Transit Number*

Swift Code*

Account Number*

Owner Information

Name*

Title First Last

Date of Birth*

Phone*

Owner's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the Owner an authorized signing director of this business?*

Yes
No

Add an Additional Owner:

Yes
No

Owner #2 Information

Name

Title First Last

Date of Birth

Phone

Owner's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the Owner an authorized signing director of this business?

Yes
No

Add another Additional Owner:

Yes
No

Owner #3 Information

Name

Title First Last

Date of Birth

Phone

Owner's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is the Owner an authorized signing director of this business?

Yes
No

Legal:

Terms and Conditions:*

I have read the Terms and Conditions
For verification purposes, we will need to verify your bank statements through DecisionLogic, an advanced secure bank verification that provides instant verification for a borrower’s banking information. Please authorize as soon as you receive the DecisionLogic authorization email.
If your application is approved, we will require a scanned copy of your driver license or government issued ID.

Name

This field is for validation purposes and should be left unchanged.

Loan Application Form

Apply for Crowdfund and Business Financing

Loan Information

Contact Information

Business Information

Crowdfund Campaign Information

Financial Information

Owner Information

Owner #2 Information

Owner #3 Information

Legal:

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