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Business Finance Request
All information provided remains secure and confidential.
*
Indicates required field
Company Name
*
First
Last
Full legal name of Company/ Business.
Title
*
Mr.
Ms.
Name
*
First
Last
(First name, initial(s), Last name)
Email
*
Phone Number
*
Are you already a CFCL Client?
*
Yes
No
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Industry Sector:
*
Manufacturing
Biotechnology (Life Sciences)
Transportation
Agriculture, Forestry, Mining & Fisheries
Tourism & recreation
Telecom & Information Technology
Wholesale & Distribution
Business & Professional Services
Real Estate and Construction
Retail and Food Service
Others
(Check that applies)
Outline the business financing requirements:
Project Description:
*
Building/ Construction
Purchase of Real Estate
Equipment Purchase
Existing Business Purchase
Leasehold Improvements
Inventory Purchase
Trade Financing
Market Development
Start-Up Costs
Other Costs
Cost ($):
$__________________
$ __________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
$ _________________
Sources of Financing:
*
Owner/ Shareholder(s)
Chartered Bank
Other Financial Institution
Private Investor
Retained Earnings
Insurance Proceeds
Grants
Balance from a Sale
(Total costs of project must equal all sources of financing.)
Cost ($):
$__________________
$__________________
$__________________
$__________________
$__________________
$__________________
$__________________
$__________________
Have you requested financing from any other Lender in the last 12 months? :
*
Yes
No
If yes, which Bank/ Financial Institution/ Lender? :
______________________________
Additional Info: Start-Up Year
_______________________________
Annual Revenues
$_______________________________
Comment
*
Submit
Home
About
Management Team
Referral Partner Program
Careers
Clients
Expertise
Advisory & Consulting
Business Financing
Controllership Services
Global Advisory
Knowledge Hub
Applications
FAQ's
Articles & Reports
Contact