Funding Application

Please complete the form below to request funds through the EIRP

It won't affect your credit score

Requested Amount (recommended to not exceed 6 months of your income) *

Product Name/Use of Funds (for best results select a product or service)

First Name *

Last Name *

Mobile Phone Number *

Email Address *

The last 4 digits of SSN *

Birth Date {MM/DD/YYYY} *

The Network Processing Fee which is collected after your selected loan offer has been funded. The Schedule can be seen Here.

By submitting this form, you agree to our Terms & Conditions.

EIRP Network Processing Fee Schedule

The Network Processing Fee is based on the Tier in which your loan amount is selected.

Tier	Loan Amount	Fee Amount
1	0 - $5,000	$295
2	$5,001 - $10,000	$595
3	$10,001 - $25,000	$795
4	$25,001 - $50,000	$995
5	$50,001 - $75,000	$1,295
6	$75,001 - $100,000	$1,995

Payment is collected after your selected loan offer has been funded (money received). This is not a loan origination fee and the fee to access the EIRP Network is collected separately.