Medical Factoring Broker / Referral

Send us a medical factoring lead that closes and make 10% on fees collected for the term of the agreement.

If you know of a medical healthcare business that is going through cash flow problems and could benefit from medical factoring services. Please contact us by filling out the following information.

Broker/Referral Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Email:
Comments:

We will ask you to fill out a W-9 form and a broker agreement once the deal closes.

Prospect:
Company Name:
Contact:
Type of Business:
Approximate Monthly Sales:
Phone: ext:
Fax:
Email:
Company web site: