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One Inland Empire
Uniko Biz
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Uniserv
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Profit Center
Marketing
Commercial Loans
Financial Services
Insurance Services
Personal Lines
Commercial Lines
Both
Personal Lines
Home
Landlords
Condominium
Renters
Auto
Motorcycle
Health
Life Insurance
Commercial Lines
General Liability
General Liability & Property
Property
Commercial Auto
Truckers
Workers Compensation
Health
Life Insurance
Contact Information:
First Name:
(Required)
Last Name
(Required)
Title
Title:
Account Executive
Account Manager
Accountant
Administrator
Agency Owner
Agent
Assistant Vice President
Associate
Asst to Broker
Attorney at Law
Banker
Biz Dev Rep
Bookkeeper
Branch Manager
Broker
Business Development Manager
Business Service Specialist
Buyer
CEO
CFO
Chief Operating Officer
Child
Client Dev. Manager
COI
Communications
Coordinator
Couselor
CPA
Credit Consultant
CSR
Customer Services
Director of Customer Experience
Director Of Finance
District Manager
Doctor
Domestic Partner
Employee
Environmental Planning Consultant
Escrow Officer
Exclusive Agent
Executive Assistant
Financial Advisor
Founder
Founder & CEO
Franchise Owner
General Manager
Government Affairs Manager
Graphic Designer
Head of Marketing & Events
HR Director
Insurance Agent
Insurance Broker
Insurance Broker Agent
Insurance Guru
Insurance Sales Representative
Investor
ISO Manager
ISO/Referral Source
kdd
Lawyer
Loan Consultant
Loan Officer
Loan Processor
M.A. Case Supervisor
Manager
Managing Director
Managing Partner
Market Center Administrator
Marketing Affiliate
Marketing Director
Marketing Manager
Mayor
Mechanical Project Engineer
Multiple Line Representative
Other
Nonrelative Other
Office Manager
Office Supervisor
Outsource Coordinator
Owner
Parent
Partner
Politician
President
President / Broker
President / CEO
President CEO
President/CEO
Principal
Principal Manager
Producer
Production Manager
Project Manager
Protection Specialist
Public Relations
Real Estate / Mortgage Loans
Real Estate Agent
Real Estate Broker
Realtor
Realtor & Loan Officer
Receptionist/Administrative Assistant
Regional Marketing Specialist
Regional Sales Manager
Register Tax Preparer & Bookkeeper
Register Tax Preparer & Bookkepper
Reletive - Other
Representative
Resort
Retired
Sale Coordinator
Sale Representative
Sales Affiliate
Sales Agent
Sales Associate
Sales Director
Sales Executive
Sales Manager
School Business Manager
Secretary & Youth Initiatives Director
Senior Contracts Administrator
Senior Loan Officer
Senior Relationship Manager
Senior Tax Specialist
Sibling
Significant - Other
Spouse
SVP
Systems Engineer
Tax Preparer
Tax Specialist
Teacher
Transacting Agent
UnKnown
Vice President
Vice President of Government Affairs
Vice President of Marketing
Volunteer Services Supervisor
Warehouse Manager
Personal Email
(Required)
Hidden
Confirmation Email
(Required)
Mobile Number
(Required)
Address:
Company Information:
Business Name
(Required)
Industry
Industry:
AC/Heating
Accounting/Finance
Advertising/Public Relations
Aerospace/Aviation
Airbnb
Animal Trapping
Arts/Entertainment/Publishing
Associations
Athletic
ATM Merchants
Attorneys / Law
Auto
Auto Dealer
Auto Repair
Beauty
Bookkeeping
Broker
Business Development
Business Opportunity
Catering
Chamber of Commerce
Cigar Industry
Clerical/Administrative
Clothing
Communications
Construction
Consumer Goods
Customer Service
Dental
Doctor
Education
Electrical Contracting
Energy/Utilities
Engineering
Entertainment
Escrow
Event Planner
Fabrication
Farming
Finance
Financial Services
Food
Furniture
Furniture
Government/Military
Green
Health Care
Health Foods
Health
Hospitality
Hosteleria
Human Resources
Income Tax
Installation/Maintenance
Insurance
Internet
Investment
Investor
IT
Janitorial
Job Search Aids
Landscaping
Law Enforcement/Security
Legal
Lending
Maintenance
Management
Manufacturing
Marketing
Medical
mining
Mortgage
Moving Company
Non-Profits
Notary
Other
Personal and Professional Development
Pharma
Professional Services
QA/Quality Control
Radio Station
Real Estate
Realty
residential
Restaurant
Retail
Retired
Sales
Science/Research
Skilled Labor
Spirits
Sports and entertainment
Staffing
tech
Telecommunications
test
Tire Repair
Tool Manufacturing
Towing
Transportation/Logistics
Travel
Trucking
Address
(Required)
City
(Required)
State
(Required)
ZIP
(Required)
Website:
Deal Information:
Entity Type
(Required)
Entity Type:
Non-Profit
Vet org
Tribal
Independent Contractor
Self Employed
Corp
S-Corp
LLC
Partnership
Franchise
Years In Operation
(Required)
Years In Operation:
New
-1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Incorporation Date
(Required)
Month
Day
Year
No. of Owners
(Required)
No. of Owners:
1
2
3
4
5
6
7
8
9
10
How many other businesses do you own?
(Required)
How many other businesses do you own?
0
1
2
3
4
5
6
7
8
9
10
Loan Amount:
(Required)
Loan Purpose
(Required)
Loan Purpose:
Purchase
Construction
Refi Cash Out
Refi Term & Rate
Biz Acq, (7a)
Partner Buy Out
Equipment
Working Capital
Collateral
Collateral:
Commercial Property
Personal Property
Equipment
Other
Specify your own value (Collateral)
Describe your loan request:
(Required)
Service
(Required)
Branding
Online
Email Marketing
Concierge
Public Relations
Texting
Attachments
Drop files here or
Select files
Max. file size: 10 MB.
Notes:
(Required)
Schedule a Consultation?
(Required)
Yes
No
Please click the Submit button only once; the confirmation page will appear shortly afterward.
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1
Company Information
2
Contact Information
3
Business Information
Hidden
Username
Hidden
Marketing Affiliate ID
Hidden
Client Submission
Yes
Hidden
Profit Center
Marketing
Commercial Loans
Financial Services
Business Name
(Required)
Industry
Industry:
AC/Heating
Accounting/Finance
Advertising/Public Relations
Aerospace/Aviation
Airbnb
Animal Trapping
Arts/Entertainment/Publishing
Associations
Athletic
ATM Merchants
Attorneys / Law
Auto
Auto Dealer
Auto Repair
Beauty
Bookkeeping
Broker
Business Development
Business Opportunity
Catering
Chamber of Commerce
Cigar Industry
Clerical/Administrative
Clothing
Communications
Construction
Consumer Goods
Customer Service
Dental
Doctor
Education
Electrical Contracting
Energy/Utilities
Engineering
Entertainment
Escrow
Event Planner
Fabrication
Farming
Finance
Financial Services
Food
Furniture
Furniture
Government/Military
Green
Health Care
Health Foods
Health
Hospitality
Hosteleria
Human Resources
Income Tax
Installation/Maintenance
Insurance
Internet
Investment
Investor
IT
Janitorial
Job Search Aids
Landscaping
Law Enforcement/Security
Legal
Lending
Maintenance
Management
Manufacturing
Marketing
Medical
mining
Mortgage
Moving Company
Non-Profits
Notary
Other
Personal and Professional Development
Pharma
Professional Services
QA/Quality Control
Radio Station
Real Estate
Realty
residential
Restaurant
Retail
Retired
Sales
Science/Research
Skilled Labor
Spirits
Sports and entertainment
Staffing
tech
Telecommunications
test
Tire Repair
Tool Manufacturing
Towing
Transportation/Logistics
Travel
Trucking
Address
(Required)
City
(Required)
State
(Required)
ZIP
(Required)
Website:
First Name:
(Required)
Last Name
(Required)
Title
Title:
1/3 Owner
Account Executive
Account Manager
Accountant
Administrator
Agency Owner
Agent
Assistant Vice President
Associate
Asst to Broker
Attorney at Law
Banker
Biz Dev Rep
Bookkeeper
Branch Manager
Broker
Broker / Agent
Business Development Manager
Business Service Specialist
Buyer
CEO
CFO
Chief Executive Officer
Chief Operating Officer
Child
Client Dev. Manager
COI
Communications
Coordinator
Couselor
CPA
Credit Consultant
CSR
Customer Services
Director of Customer Experience
Director Of Finance
District Manager
Doctor
Domestic Partner
Employee
Environmental Planning Consultant
Escrow Officer
Exclusive Agent
Executive Assistant
Financial Advisor
Founder
Founder & CEO
Franchise Owner
Government Affairs Manager
Graphic Designer
Head of Marketing & Events
HR Director
Insurance Agent
Insurance Broker
Insurance Broker Agent
Insurance Guru
Insurance Sales Representative
Investor
ISO Manager
ISO/Referral Source
kdd
Lawyer
Loan Consultant
Loan Officer
Loan Processor
M.A. Case Supervisor
Manager
Managing Director
Managing Partner
Market Center Administrator
Marketing Affiliate
Marketing Director
Marketing Manager
Mayor
Mechanical Project Engineer
Multiple Line Representative
N/A
Nonrelative Other
Office Manager
Office Supervisor
Outsource Coordinator
Owner
Parent
Partner
Politician
President
President / Broker
President / CEO
President CEO
President/CEO
Principal
Producer
Production Manager
Project Manager
Protection Specialist
Public Relations
Real Estate / Mortgage Loans
Real Estate Agent
Real Estate Broker
Realtor
Realtor & Loan Officer
Receptionist/Administrative Assistant
Regional Marketing Specialist
Regional Sales Manager
Register Tax Preparer & Bookkeeper
Register Tax Preparer & Bookkepper
Reletive - Other
Representative
Resort
Retired
Sale Coordinator
Sale Representative
Sales Affiliate
Sales Agent
Sales Associate
Sales Director
Sales Executive
Sales Manager
School Business Manager
Secretary & Youth Initiatives Director
Senior Contracts Administrator
Senior Loan Officer
Senior Tax Specialist
Sibling
Significant - Other
Spouse
SVP
Systems Engineer
Tax Preparer
Tax Specialist
Teacher
Transacting Agent
UnKnown
Vice President
Vice President of Government Affairs
Vice President of Marketing
Volunteer Services Supervisor
Warehouse Manager
Personal Email
(Required)
Hidden
Confirmation Email
(Required)
Mobile Number
(Required)
Referral Source
Referral Source:
Ad
Albert Rabago
Andrew Adams
Bark
Center of Influence
COI
Cold Call
Cold Visit
Conference
Convention
Customer
Cynthia Doung
Existing Client
Facebook
Festival
Frank Nigro
ISO Manager
Jen Salas
Joaquin Barba
Latino Tax Pro
LinkedIn
Loan Officer
Mac
Marketing Affiliate
Michael Nasr
Mike Nasr
Mike Russ Schools
Miriam (Realtor)
nataly
natalye lopez
Network
Networking Meeting
Networking
Nic
Nick
Personal Source
Power Partner
Real Estate Agent
Recruiting Affiliate
Rep Ride Along
Sal Ayala Jr
sal ayala
SBA Referral List
Sergio Aguilar
Student
Training Meeting
Twitter
Unidentified
Victor Wong
Viviane Tang
Walk-In
Web Search
Entity Type
(Required)
Entity Type:
Non-Profit
Vet org
Tribal
Independent Contractor
Self Employed
Corp
S-Corp
LLC
Partnership
Franchise
Years In Operation
(Required)
Years In Operation:
New
-1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Incorporation Date
(Required)
Month
Day
Year
No. of Owners
(Required)
No. of Owners:
1
2
3
4
5
6
7
8
9
10
How many other businesses do you own?
(Required)
How many other businesses do you own?
0
1
2
3
4
5
6
7
8
9
10
Loan Amount:
(Required)
Loan Purpose
(Required)
Loan Purpose:
Purchase
Construction
Refi Cash Out
Refi Term & Rate
Biz Acq, (7a)
Partner Buy Out
Equipment
Working Capital
Collateral
Collateral:
Commercial Property
Personal Property
Equipment
Other
Specify your own value (Collateral)
Describe your loan request:
(Required)
Service
(Required)
Branding
Online
Email Marketing
Concierge
Public Relations
Texting
Commercial Lines
General Liability
General Liability & Property
Property
Commercial Auto
Truckers
Workers Compensation
Health
Life Insurance
Personal Lines
Home
Landlords
Condominium
Renters
Auto
Motorcycle
Health
Life Insurance
Attachments
Drop files here or
Select files
Max. file size: 10 MB.
Notes:
(Required)
Schedule a Consultation?
(Required)
Yes
No
Please click the Submit button only once; the confirmation page will appear shortly afterward.
×