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Venture Capital Request Form

To insure our best efforts in locating venture capital for you, we need to have the following detailed information. Please understand, it will be kept in strictest confidence at all times. After you have filled in the questions, including contact information, click on "submit" below.

Preface
The venture capital industry is estimated to be $30 billion big and growing. The explosive growth of high tech companies fuels it. As a seeker of venture capital, you should know there are distinct stages venture capital firms have established for providing funding:

  • Pre-Startup
  • Second Stage
  • Third Stage
  • Mezzanine
  • IPO

Venture capital firms, small and large, require detailed information about your business, at whatever stage it is. Number one on this list is a second, complete business plan. You must have this done by a professional, who may charge $800 for a small plan, on up to $10,000 (or more) for a complex one. The business plan should also have a marketing plan, which is vital to the success of your enterprise or ANY business.

Also, you should have a solid list of references - bank, business, personal. Your attorney can help advise you in this area. At all times, be 100% honest in all your disclosures to the venture capital person or firm. A small oversight, intentional or not, can kill the deal for you fast.

Be patient, but be persistent. Getting funded always takes longer than you think. Hang in there.

 QUESTIONS:

1) What is your business? Describe. Date founded?

2) Are you the CEO?

3) Purpose of the venture capital - startup, stages, expansion, purchase of another    firm, working capital, debt repay and/or building purchase payment.

4) Have you tried to obtain capital in the past? From whom? Results?

5) How much capital do you seek?

6) Do you have a good business plan in place?

7) Have you done any market research?

8) Size of market?
9) Your competition?

10) Does your product/service have a competitive edge? If so, what is it?

11) Do you plan on marketing the product/service in the U.S. only or also overseas? If      so, in what countries?

12) Do you plan to take your company public, IPO, or merge it with another firm?

 

Name

Company

Telephone

Email

Important: Please do not send your
executive summary until requested. Thank you.

John E.D.Coffey,Jr.,
Connexx Club International
Tel. (561) 799-6193 | Fax. (561) 630-3429