Thank you for submitting your inquiry to Root Capital.
A member of our Business Development team will be in touch within three business days to inform you of your status. At that time, you can expect to be informed of whether you meet our basic qualifications to be assessed by a loan officer. In some cases, we may send additional, clarifying questions via email or ask to set up a preliminary interview before determining your eligibility.
We look forward to learning more about your business and we welcome you to explore our website to learn more about our lending products and financial advisory services.
Contact Information
Company Name*
Country*
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Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Côte D'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic Of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic Of Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao North Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis And Futuna Western Sahara Yemen Zambia Zimbabwe
State/Region*
Address
City
Postal Code
Organization Website URL
First Name*
Last Name*
Title*
Email*
Phone Number*
Organization Information
In what year was the organization legally registered?
For how many years are financial statements available for Root Capital to analyze?*
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0
1 - 2 years
3+ years
Annual Sales Range (USD)*
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$0
Up to $100,000
$100k - $300k
$300k - $500k
$500k - $1.5M
$1.5M - $4M
$4M - $10M
$10M - $20M
$20M - $40M
More than $40M
Description of enterprise and its primary activities
How many full-time staff (e.g., General Manager, Accountant, Sales Manager, etc.) are in your business?
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1-3 staff
4-9 staff
10-19 staff
20 or more staff
Who performs the accounting function for your business?
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A dedicated accounting staff member (potentially in coordination with an external firm)
A staff member (potentially in coordination with an external firm) who has other duties in addition to accounting
An external accounting firm
Our business does not have an accounting function
For how many years have you been selling your product to your longest-standing buyer?
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0-1 year
2 or more years
Credit Request
What is the primary way in which your organization intends to utilize this financing?*
What amount of financing is your organization seeking?*
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Up to $50,000
$50k - $100k
$100k - $250k
$250k - $500k
$500k - $2M
More than $2M
What type of product or activity are you seeking financing for? (If you choose “other”, please be sure to include the industry in your written description of the enterprise above.)*
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Cocoa
Coffee
Extracts, Powders, Gums, Honey and Oils
Farming Inputs and Supplies
Fibers
Fisheries
Forestry
Fresh Fruits, Vegetables and Flowers
Handcrafts
Meat, Livestock and Dairy
Nuts, Rice, Grains, Legumes and Edible Seeds
Other
Processed Food and Beverages
Processed Herbs, Spices, Medicinal Plants and Teas
Services
Textiles
How did you first hear about Root Capital?
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Advertisement
Conference
A Root Capital Client
My Buyer
My Certifier
A Root Capital Advisory Team Member
A Technical Assistance Partner
Another Social Lender
Social media - Facebook, Twitter, Blog
Supplier Relationship
Trade Show
Root Capital Newsletter
Root Capital Website
Word of mouth
Other
In submitting this form, our enterprise hereby acknowledges and agrees that Root Capital, its affiliates and/or any related entities may share among each other the data submitted herein, as well Root Capital’s assessment of the enterprise’s credit worthiness. Root Capital may also use any such information in its aggregate and anonymous form for purposes of field-wide assessments and to advance the interests of the sector.