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Working Capital Application Form

COMPANY INFORMATION



OWNER INFORMATION 1




OWNER INFORMATION 2


By signing here, the above listed business and business owner(s)/officer(s) (individually and collectively, (“you”) authorize Better Life Capital LLC and each of its representatives, successors, assignees and designees (“Recipients”) to use and/or transmit this information to any third party vendor necessary to provide Working Capital/financing services. I am providing my business cell phone and business e-mail address and hereby consent to the receipt of correspondence/ messages regarding transactions with Better Life Capital LLC and/or its afliates on either medium. I also hereby consent to the receipt of text messages knowing that msg. & data rates may apply. I understand that consent to receive texts is not a condition of approval. I/we certify that all the information contained herein is complete, true & accurate.

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By signing this document electronically, you are agreeing that your electronic signature is the legal equivalent of your manual signature.