Contact Us

Let ECAP help your company grow. Our goal is to quickly and efficiently evaluate your request to participate in our financing programs. To get started, complete the application form below.

Authorized Company Contact

First Name

Last Name


Basic Company Information

Company Name

Company Address

Company Phone Number

Company Website

Company Status

The State the company's formation papers were filed and approved

Tax ID Number

How long have you been in business?

How many employees do you have?

In-Depth Company Information

Who do you bank with currently?

Are your tax filings current? If not, what years do you owe?

Do you have a current Profit and Loss Statement and Balance Sheet?

Briefly describe your business and products, and what problems you are facing

Provide names and addresses of the principals who represent at least 51% of the ownership

How much capital are you seeking on a monthly basis?

What were your company's revenues for the last six months?

How much in outstanding receivables do you have?

How much do you receive in monthly purchase orders, on average?

When you ship a product, how long does it typically take for you to receive payment?

With funds made available to you from ECAP, please estimate how much your monthly purchase orders would increase in 12 months, 18 months and 24 months.