This finance template includes 12 fields. Apply for invoice financing to advance cash against outstanding receivables for a business. Free to customize and use on ZenBuild.
Business Name (text, required)
Contact Name (text, required)
Email Address (email, required)
Phone Number (text, required)
Business Type (dropdown selection, required) — options: B2B services, B2B product/manufacturing, Staffing/temp agency, Construction/contracting, Healthcare/medical billing, Trucking/logistics
Monthly Invoice Volume ($) (number, required)
Average Invoice Amount ($) (number, required)
Average Days to Customer Payment (number, required)
Amount of Financing Requested ($) (number, required)
Do you have existing financing on your receivables? (multiple choice, required) — options: Yes, No
Sample Invoice or AR Aging Report (file upload, optional)