SAFI Academy - Business Program Intake Form

Welcome To SAFI Academy

Business Program

Please complete the following intake form. We will use this form to formulate a business credit plan for you

First Name*

Last Name*

Email*

What Type of Services Do You Need?

Business Coaching

Business Credit Services

Business Funding Services

Credit Restoration Services

Tax Services

Business entity/structure type:

What State was your business formed in

Legal Business Name

Do you have business email

Business Address

City

State

ZIP / Postal Code

Is you business address a home address

Business Phone

Is your business number listed on 411

Business Fax (If Available)

Do you have a website for your business

What is your website URL

Do you have a EIN number

Please provide your EIN number

Does your business have all required licenses and/or permit

Does you have a business bank account

Does your business have a merchant account

Personal Credit : Is your credit score over 680

How long have you been in business

What products / services do you offer

What is your business credit goal