Prefilled Info
Current Position
Funding Request ID
Funding ID
Funding Date
Account ID
Prefill Marketing Profile
Status
Questionnaire Completed on
Submission ID
Marketing Profile
CE
Payment Modification Request
Tell us the reason behind your request:
Are you experiencing a drop in sales revenue?
Yes
No
Indicate Percentage Drop:
Please select...
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Is your business closed at the moment?
Yes
No
Closed as of what date?
When do you plan on reopening?
Has your business taken funding from any competitor since our funding on:
Yes
No
Did you request a payment modification from any other funding company?
Yes
No
Days you request reduction for:
Please select...
1
2
3
4
5
6
7
8
9
10
Comments:
***Payment Modification Request is subject to Approval, a 99$ monitoring fee applies***