Commercial Capital BanCorp

CCB Appreciates your Visit to our Website

For an accurate and prompt response, complete the online introduction Of yourself and your Company and provide with a detailed

Introduction of your Project and your Capital requirements

Company & Personal Information:

Company Information:
Borrowing Entity (Company Name):
Location/Building/Suite:
Street Address:
City:
State / Province:
Zip/Postal Code:
Country:

Name of Primary Contact:
Title:
Office Telephone:
Mobile:
Fax:
E-Mail:
Name of Other Contact:
Title:
Office Telephone:
Mobile:
Fax:
E-Mail:

Referral Source Information:
Company Name:
Contact Name:
Broker/Lender/Other:
Telephone:
Fax:
E-Mail:

Please provide the following information about your business:
Is this a Start-Up Business?
How long has the business been in existence?
What service or product your business provide?
What were your gross revenues in 2009 ? $
What was your EBITDA in 2009 ? $

Do you own or manage any other businesses

Loan Request:
Total Project Cost $
Borrower's Cash & Equity Participation $ (Start-Ups and Acquisitions)
Loan amount request $
Industry or Type of Business:
Type of Transaction:

Describe and Itemize the Use of Loan Proceeds:

Brief Project Summary / Description of your Project:

Indicate Plan for the Repayment of the Loan:

For More Information Call Today at: +813-600-3253 or E-mail at: ccb.us@ccbancorp.net