Business Plan Outline Form

1. Company Name

2. First Name

3. Last Name

4. Address

5. City / Town

6. State / Region

7. Country

8. ZIP / Postal Code

9. Day Phone

10. Cell Phone

11. Fax

12. Email Address

13. Web Site

14. Legal Identity (Corporation - S Corporation - LLC - Other)

15. List Your Industry

16. Description of the Business Opportunity

17. Key Product / Service Strengths or Advantages

18. Type of Funding (Equity - Seed Capital - Mezzanine - Growth - Looking for Clients / Customers)

19. How Much Money is Being Requested in US Dollars?

20. Please explain how the money will be invested

21. Business Stage

22. What are the Capital Exit Strategies? (IPO - Buyout - Merger - Growth - Other: Need Advice)

23. Highlights of the Marketing Strategy

24. Main Risks

25. Main Competitors (if any)

26. Expected ROI and Investment Period

27. Complete Business Plan Available? (Yes - No - Need Advice - N/A)

28. Any Additional Comments that you would like the Investor to know?

29. Do you want this information to be available on the web site for all registered investors to review?

30. How did you hear about us? If by an Affiliate, please include their name and code number

31. I have read and agree to the following terms and conditions:

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