Apply for Funding.

One application, straight to our underwriting team. Real answers, fast.

Funding ApplicationSecure Intake

Business Information

Business Name *

Business Address *

City *

State *

ZIP *

Business Phone *

Business Email *

Company Type *

Business Start Date *

EIN (Tax ID) *

Industry Type *

Business Bank Accounts

Application Referrer

How Are You Processing Payments

Current Processor

Do You Have a Contract With Your Current Processor?

YesNoUnsure

Funding Request

Requested Funding Amount *

Gross Revenue *

Estimated Credit Score

Your best estimate is fine — this is never a credit pull.

Purpose of Requested Funds *

Open Cash Advances (Current Positions) *

Current Loans or Advances and Balances

Any Tax Liens

Documents

Bank Statement, Month 1

Bank Statement, Month 2

Bank Statement, Month 3

Bank Statement, Month 4

Month to Date, Current Month

Your most recent activity. PDF preferred.

Voided Check

A photo of a voided check from the business account.

Account and Routing Numbers

A screenshot from your online banking that shows the account number and routing number.

Driver's License, Front

Driver's License, Back

Ownership

Owner 1 Full Name *

Ownership % *

Home Address *

City *

State *

ZIP *

Home Phone *

Email *

Social Security Number *

Date of Birth *

Agreement

I certify that the information provided in this application is true and complete. I authorize Onyxx Media Group LLC dba Batch Capital and their representatives to verify the information provided, including obtaining business and personal credit reports, and to contact me about this application.

Signature *

Sign above with your mouse or finger.

Date

Your information is transmitted securely and used only to underwrite this application.