Preliminary Data and Information Sheet

Company Contact Information

Company Name *
Primary Contact *
Title *
Address *
City, State, Zip *
Country *
Phone *
Fax *
Email *
Website Address *

Company Operations Information

Type of Organization (C Corp, LLC, etc.) : *
Date and State of Incorporation : *
Years in Business : *
Number of Shares : *
Types of Products/Services : *
Patents/Trademarks : *
Industry : *
Market : *
Competitive Advantage : *
Gross Sales Last 3 Years : *
2010-11-12 EBITDA : *
Audited Financials : *
Funds Sought : *
Have attempted to raise money? (status/name of intermediary) *
Method used to raise capital: *
Cash Reserves : *

Attachments

Executive Summary (2-5 pages) *
Summary of Last Three Yrs Financials *
Three Year Pro Forma *
Current Balance Sheet *
Current P&L *
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*Please Note: Renewable Global Energy/MBE Services Inc does not guarantee that Applications made through this website will be approved. All applications are screened and only those who qualify may be approved. You understand and agree that Renewable Global Energy and/or MBE Services Inc reserves the right to assign the SME Funding to a third-party reputable Company and also has the right to share the information that you provide in the Preliminary Data Request to such Third-Parties.