KTC would like to review your request for funding. Please complete the information on this screen so we may begin to do so. Your Name * Company's/Client's Name * Address City State Country Zip Code/Postal Code Telephone in U.S. Fax in U.S. Email Address Describe the business Company's Annual Sales Purchase Order/Contract Amount $ US Dollars Amount of Funding Requested $ US Dollars Date Funding is required or type in date (DD/MM/YYYY) Who is end customer? Are there multiple end customers in this transaction Yes No What are Payment Terms Please Explain the Financing Need
