Payzel Funding Application

* Required

First Name *

Last Name *

Email *

Cell *

Driver's License *

DL Expiration *

Do you agree to text communication?

Do you agree to email communication?

* Required

Company Name *

Address *

Zip Code *

State *

City *

Industry

Description of product/service

Business ownership type

* Required

Type of Loan/Finance interested in

Amount Required

* Required

*Steps for uploading pre-recorded voice:

Please upload a voice sample explaining why you need a loan.
(required: file size <32Mb, format: WAV, structure: one person speaking clearly in any language)

or record here

Thank You for choosing Payzel for your funding needs.
We will be in contact with you shortly.