Quick Pay Request

How would you like your funds (Please Check One):

Must receive request by 2:00 MST for this option.

List Your Invoices Below:

Invoice #3:

Invoice #4:

The undersigned hereby sells, assigns and transfers all of its right, title and interest in the listed accounts receivable ("invoices") to Venture Capital, LLC, pursuant to that certain Accounts Receivable Purchase Agreement between the undersigned and Venture Capital, LLC.

Please include the following items with each request:
  1. Copy of Confirmation and BOLS for invoices listed. (Originals must be mailed within 24 hours)
  2. Notice of Assignment Letter with your signature. (For new customers you have not previously submitted invoices for)
  3. Originals must be mailed within 24 hours to: PO Box 274, Draper, UT 84020 Attached files:
Attached files: