Funding Application

 ►   Have you accepted Visa/MasterCard transactions for at least 12 months? 
 ►   Is your monthly Visa/MasterCard volume at least £3,500? 
 ►   Do you have at least one year remaining on your current retail lease?

First Name:  *
Last Name:  *
Business Trading Name:  *
Address Line 1:
Address Line 2:
City/Town:
County:
Postcode:
Type of Business:	--None-- Restaurant/Bar Hotel/Motel Pub B&B Automotive Hairdressing Beauty Spa Florists Garden Centre Off Licence Cash and Carry Furniture Shop Dry Cleaners/Laundromat Gift Shop Pet Care Healthcare/Dental General Retail Other Jewellers
Approx Average. Monthly Card Sales (£): *	--None-- <3,500 3,500 - 10,000 10,000 - 20,000 20,000 - 40,000 40,000 - 60,000 60,000+
Length of Time in Business: *	--None-- Less than 1 year 1 year - 2 years More than 2 years
Current Card Processor:	--None-- Lloyds TSB Cardnet Streamline Barclaycard HSBC HBOS Other
Telephone Contact Number: *
Email Address: *
How did you hear about us?:	--None-- Internet Search Telesales Magazine Advert Sales Rep Other
If you have spoken with a Sales Representative please place their name here:

 Fields marked with an * are required fields.                                                                                

                             

                                           Merchant Cash Express works in partnership with Lloyds TSB Cardnet.