| | Title* | |
| | Name* | |
| | Surname* | |
| | Introduced by*
(if you have been introduced by someone please state their name, else enter "No") | |
| | Address* | |
| | Town* | |
| | Post Code* | |
| | County* | |
| | Telephone* | |
| | Mobile | |
| E-mail* | |
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| | Business Name* | |
| | Status | |
| | Company Registration Number | |
| | Website | |
| | No of Employees* | |
| | Business Sector* | |
| | Geographical Location* | |
| | Estimated Turnonve in £ (if trading) | |
| | No of Years Trading | |
| | Do you have any other funding?* | |
| | If yes, how much? | |
| | If yes, from which source? | |
| | Do you have a business plan?* | |
| | Business Plan Status* | |
| | Investment Amount Required* | |
| | Please describe your business activity | |
| | What will the investment be used for? | |
| | What have you invested/contributed to this business?* | |
| | Please give us a description of your proposal
Protecting your ideas? If your Business Plan includes specialist techniques and procedures then it is your responsibility to ensure these are protected under the appropriate patent and copyright law. It is often still possible to market a Business Plan without disclosing special secrets but you should take the appropriate level of legal advice if you are in any doubt how to protect your ideas | |
| | Please tell us how you discovered us?* | |
| | If other: | |
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