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Name
Company
Telephone Number
e-Mail Address
What services are you interested in?  Business Plan Writing Capital Introduction Consulting PowerPoint Development Additional
What is the specific industry of your business?
What products and services will your company offer?
Where will your company be geographically located?
Duration in Business
How much capital will you need to raise?
What funding sources will you attempt to raise capital from?  Self Friends & Family Private Placement Commercial/SBA Loan Government Grant Angel Investors Venture Capital Institutional
What type of facilities will be needed for your Company?
Number of (projected) Employees/Staff?
Is this business either a franchisor or franchisee?
Will your company internally manufacture products?
Is your company primarily an internet company or traditional company?
What geographic areas will your company target initially and eventually? Describe your growth strategy.
How would you characterize your target markets?