1. Contact Information
2. Type of Institution
Investment
Group
Venture
Capitalist
Broker/Dealer
Bank
Asset Based Lender
Institutional Investor
Accounts Receivables Factor
Medical Receivables Factor
Pension Fund
Mutual Fund
Other, Please specify:
3. Service
Offering/Description
A. Describe services offered
by your company:
B. Indicate the type and
stage of funding provided by your firm (i.e., equity, debt,
business loans for expansion, working capital, etc.) :
C. Geographic locations of
interest (including international):
D. Specify your
investment/funding criteria (i.e., industry group(s), sales,
profitability, years in business, cash flow, etc.):
E. What size of investment or
funding do you prefer: :
Minimum investment amount ($US)
Maximum investment amount ($US)
F. What are your fee
arrangements?
G. Other comments,
information, requests, instructions, etc:
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