Application | Florian Gap

Tell us who you are and how you’d like to be contacted.

Full name *

Email *

Phone *

Preferred contact *

Applying as *

Website (optional)

Business basics

If applying as a business, add your legal name and registration (if available).

Legal business name *

Trading name / DBA (optional)

EIN / Registration (optional)

Country *

Business address *

City *

State / Province *

ZIP / Postal code *

Prefer to message?

What would you like Florian Gap to structure for you?

I’m interested in *

Timeline *

Primary purpose *

Currency *

Loan amount requested (estimate) * Important

please enter an estimate.

Preview: —

Preferred term *

Own contribution (optional)

Expected repayment source (optional)

Short description *

These details help us respond with a precise checklist and faster turnaround.

Utilisation of funds (recommended)

If funding is approved, how will it be used? Add estimates where relevant.

Working capital

Inventory / stock

Equipment / machinery

Property / real estate

Receivables / debtors

Operating expenses

Acquisition / buyout

Refinance / consolidation

Fees (legal / valuation)

Other

Other (description)

Collateral type (optional)

Estimated collateral value (optional)

Collateral details (optional)

Primary bank (optional)

Existing facilities / lenders (optional)

Outstanding balance (optional)

Monthly repayment (optional)

Any bankruptcy / creditor arrangement? (optional)

If “Yes”, include details in “Additional notes” below.

Business profile (recommended for funding)

Business name (if different)

Industry *

Years in business (optional)

Employees (optional)

Annual revenue (optional)

Monthly revenue (optional)

Net profit (optional)

Premises (optional)

Landlord / managing agent (optional)

Monthly rent (optional)

Lease end date (optional)

Owners / principals

Add up to 3 owners/directors. (Typical lender requirement.)

Owner 1 name

Role

Ownership %

Email

Phone

Owner 2 name

Role

Ownership %

Email

Phone

Owner 3 name

Role

Ownership %

Email

Phone

References & advisors (optional)

Reference 1 name

Reference 1 phone

Relationship

Reference 1 email

Reference 2 name

Reference 2 phone

Relationship

Reference 2 email

Accountant / bookkeeper

Attorney / legal

Advisor phone (optional)

Advisor email (optional)

Additional notes (optional)

Attach any supporting documents you already have. This can speed up review.

Upload documents (optional)

Examples: bank statements, ID, business registration, financials, property/asset documents.

Note: File uploads .

Confirm details, complete verification, and submit.

Verification code *

Type this code: —

Best time to contact (optional)

Declarations & e-signature

I confirm the information provided is accurate to the best of my knowledge. I consent to be contacted for clarification and next steps. I agree that Florian Gap may process my details for this enquiry. (Optional) I understand a lender may require verification / credit checks later.

Type your full name (e-signature) *

Date *

How did you hear about us? (optional)

By submitting, you agree to be contacted for clarification. Eligibility, terms, pricing, and timelines depend on product type and documentation.

A structured application for funding and investment enquiries.

We’ve streamlined the application to focus on the essentials