Welcome to Wellen Capital. To begin your application process right now, please complete the short form below and we will begin the process of funding your business. Be sure to include 3 months of bank statements to expedite your application! Begin Your application:First Name *Last Name *Email *Please enter a true email address or we may not be able to respond.Website *Please enter a true domain (.com, .net, etc.)Company Name *Job Title *Business Address *Business CityBusiness State/ProvinceBusiness ZIP / Postal CodeMobile Phone Number *Home Phone Number *Home Address *Home CityHome State/ProvinceHome ZIP / Postal CodeSS Number *Federal Tax ID *Birthday *Select *What Industry Are You In?Construction & BuildingRestaurant or BarHealthcare or EducationCommercial or Home ServicesRetailTruckingOtherSelect *How Many Years Have You Been In Business?Less than 1 year1-2 years2+ yearsTo expedite your application, please include 3 months of bank statements *Drag and Drop (or) Choose FilesMultiple files can be submittedTerms and conditions:I, Principal Owner of the Applicant, hereby authorize Wellen Capital, LLC or its agents or service providers to obtain my consumer report, including my credit score, and other information, for the purpose of obtaining a working capital advance for the Applicant. Applicant hereby authorizes Wellen Capital, LLC or its agents or service providers to obtain business credit reports and to verify the information provided by Applicant. Applicant and Principal Owner of the Applicant represent that all of the information provided herein is complete and accurate.Application Terms & Conditions confirmedDate *Signature *Start signing your signature hereYour browser does not support e-Signature field. Submit Application