Submitting a Plan

This form consists of three sections, requiring your input on your company, your financial position, and your proposal. Please complete all that apply.

Is this new information about your company or an update of previously submitted information?
New
Update

1. Please tell us about your company:

Company Name:
Address:
City:
State:
Zip:
Country:
Phone:
Fax:
E-mail Address:
WWW Address:
            First              Middle       Family Name
Contact Name:
CEO Name:
CFO Name:
Year Founded:
Number of Employees:



2. Please provide the following financial / market information (as appropriate):

Please describe your current capital structure.

Please tell us about your major shareholders & financial partners.

Please provide us with the key financial details of your company for the past four years, and your forecast for the next four. A template of what we require may be printed out here. Please complete it, and send it to us by fax and/or mail. Please elaborate on any assumptions which you may have used for your forecast.



3. Please provide the following information on your proposal:

Your Company

Description of Your Company's Services:

Strategic Partners:

What is the total amount of investment you are seeking, and what will it be used for?

Please characterize the current stage of your business.


Your Proposal/Product

Please provide a brief description of the business opportunity, concept, product, or service proposed.

What are the Strengths of Your Proposal?

What are the Weaknesses of Your Proposal?

What Opportunities do you see for Your Proposal?

Who/what are the Target Markets for Your Proposal?

Name the Products Currently on the market which are most similar to Your Proposal:

Who are your Main Competitors?

Challenges and Risks: