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BUSINESS INFORMATION
Type of Business (circle all that apply)*
Retail
MO/TO
Wholesale
Restaurant
Supermarket
Other
MERCHANT/OWNER INFORMATION
PARTNER INFORMATION
BUSINESS PROPERTY INFORMATION
BUSINESS TRADE REFERENCES
(Please list at least 3 trade suppliers. Please attach any additional references on a separate page.)
Applicant authorizes MPower Capital, its assigns, agents, banks or financial institutions to obtain an investigative or consumer report from a credit bureau or a credit agency and to investigate the references given on any other statement or data obtained from applicant.