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* 1. Please provide your name and email address so that we can get in touch with you on your application.

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* 2. What is the name of your business?

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* 3. Where is your business located?

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* 4. Where does your business operate from?

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* 5. What is the legal type of your business?

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* 6. What sector does your business operate in?

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* 7. What are the main product(s) and or service(s) of your business?

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* 8. How long has your business been operating commercially?

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* 9. How many employees does your business have?

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* 10. Do you currently operate a bank checking account?

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* 11. Do you use a credit or debit card for your business operations?

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* 12. What were your total sales in the past 12 months? (in $US)

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* 13. What % of sales are generated by your 3 largest customers?

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* 14. What is your current receivables balance? (in $US)

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* 15. What is your current payable balance? (in $US)

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* 16. What is the current balance of your total borrowings? (in $US)

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* 17. Have you been forced to resort to “pay day” type easy access, high interest rate short term financing?

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* 18. Does the business prepare Monthly Management Accounts (MMA) or Income and Expenditure Statement (IES)?

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* 19. Do you use a Point of Sale for your sales?

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* 20. What would be the amount of working capital needed per month? ($US)

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* 21. What would be the purpose of the desired financing?

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* 22. How many additional employees would the business employ over next 12 months?

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* 23. What type of advisory services would your business need to facilitate its growth objectives?