investment, consulting form

I N V E S T M E N T S

BORROWER
In order for us to review your project and determine the right loan program, you must complete the form below and submit to us along with the following documents: BUSINESS PLAN EXECUTIVE SUMMARY USE OF FUNDS & DRAW SCHEDULE Do not submit full and detailed documentation unless requested. Our representative contact you within 24 hours. Investor approval is provided in 5 days or less. All information submitted here will not be stored in our database... * Required
* Borrower Name(s)
Contact Information:
* Cell
* Phone
* Fax
* Email
* Loan Amount Needed
* Borrower's Invested $
* Borrower's Net Worth:
Cash
Life Insurance
Stocks
Bonds
Real Estate
Other
* Deal Type:
JV
Acquisition
Other
* Stock Sharing Option:	Yes	No
Other
* Did you approach Other Lenders before?	Yes	No
Reason Declined
Collateral:
* Business Real Estate
* Personal Real Estate
* Business Accounts Receivable Monthly
* Business Accounts Receivable Annual
* Business Purchase Orders Monthly
* Business Purchase Orders Annual
* Business Government Contracts Monthly
* Business Government Contracts Annual
None, I will use a Bond
* Are you curently under contract with a Broker?	Yes, expiry date No
* We require all our clients to sign an agreement with us. Is this a problem?	Yes	No
	Other

BONDS All Lenders want to secure the money they are lending you. If you do not have enough collateral this is required in order for you to get funded. Price vary depending on type and size of your deal. Type and pricing is discussed to you directly by our representative once your deal has been considered.