FUNDING-SOURCE NETWORK APPLICATION

Show AXIS where your capital fits.

Provide a high-level mandate. AXIS will follow up to review guidelines, authority, process and relationship fit before any activation.

01 Organization

Organization nameWebsiteFunding-source typeStates or regions served

02 Primary contact

Contact nameTitleEmailPhone

03 Capital mandate

Products and structuresTypical minimum requestTypical maximum requestIndustries, exclusions and core eligibilitySubmission and documentation requirements

04 Authority and consent

I am authorized to submit this information on behalf of the organization.The organization is a direct funding source or authorized capital provider, not an unauthorized reseller of applicant information.The organization retains independent control over eligibility, underwriting, pricing and every credit or investment decision.I agree that AXIS may contact me about this application and potential network participation.