Application — ByzRelief

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Name *

First Name

Last Name

Phone *

(###)

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Email *

Phone *

(###)

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Business Legal Name *

Business Start Date *

Industry *

Estimated Credit Score *

Monthly Revenue *

Do You Have Existing Business Debt? *

If Yes, Approximately How Much? *

Business Needs Assessment *

What type of assistance are you currently looking for? (Select all that apply)

Business Financing (Loans, Lines of Credit, Equipment Financing)

Real Estate Financing (Commercial Property, Leasing, Refinancing)

Government Funding & Grants Assistance

Debt Consolidation or Restructuring

Selling My Business (Valuation, Finding Buyers)

Marketing & Advertising Support (SEO, Website Development, PPC)

Hiring & Workforce Solutions

Automation & Technology Integration (AI, CRM, ERP)

Tax Strategy & Accounting Services

Other

I agree to receive communications, including emails, phone calls, and text messages, regarding products, services, and promotions. I understand that I can unsubscribe at any time. *

I agree to the terms of service.

Thank you!