In-House: Seed Capital Financing Questionnaire
Submit the following then let's discuss your prospects for seed capital financing.
First Name
*
Last Name
*
Title / Role
Company
Email
*
Phone
*
Website
Custom Page for:
Referred by
Your capital requirements for the next 12 - 18 months?
*
Select
$0 - $249,999*
$250,000 - $749,999
$750,000 - $1,499,999
$1,500,000 - $2,999,999
$3,000,000- $5,000,000
$5,000,001 - $20,000,000
$20,000,001 - $50,000,000
What is your stage of operations? (select all that apply)
*
Select
Concept Stage
MVP (Minimum Viable Product)
Beta Testing/Market Research
Pre-Revenue/Proof of Concept
Post-Revenue
Pre-Profitability
Post-Profitability
Legal structure of Entity?
*
Select
C Corporation
S Corporation
LLC
Partnership
Joint Venture
Sole Proprietorship
Other
How long have you been in business?
*
Select
0 - 6 Months
7 - 12 Months
1 - 2 Years
2 - 3 Years
3 - 5 Years
5 Years+
What's your current annual revenue range?
*
Select
$0 - $99,999k
$100k - $249,999k
$250k - $1.499mil
$1.5mil - $3mil
$3mil+
What's your revenue projections for the next 3 years?
*
How many employees do you have?
*
Select
0 - 3
4 - 8
9 - 20
20+
What assets do you own? (select all that apply)
*
Select
Intellectual Property
Patents
Copyrights
Real Estate
Inventory
Equipment
Stocks
Bonds
Notes
Key-Man Insurance
Submit
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