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Please fill out the form completely, all items are required.
Full Name:
Title:
Phone:
Email:
Business Name
Phone2:
Website
Social Links
Linkedin url:
Facebook url:
Company Industry
What type of industry?
Select
Beverages (Alcohol, Non-Alcohol & RTD)
Biotech, Pharmaceuticals, Healthcare, Medical Devices & Equipment
Business Products & Services, IT Services
Communications
Computers & Control Systems, Peripherals, Robotics
Consumer Products & Services, Retailing
Electronics & Instrumentation, Semiconductors, Nanotechnology
Energy & Utilities
Financial Services & Real Estate
Industrial & Manufacturing, Materials, Chemicals
Media & Entertainment
Software
Transportation & Distribution, Aerospace, Defense
Funding?
How much Capital are you seeking?
$50,000 - $250,000
$250,000 - $500,000
$500,000 - $1,000,000
$1,000,000 - $2,500,000
Disclaimer: Any amount over $1,000,000 requires a completed financial audit from the prior fiscal year.
Funding Goal ($)
Funding Commitments ($)
Funding Raised So Far ($)
Pre-Money Valuation ($)
What Kind of capital are you seeking?
Select Capital
Equity
Debt(Preferred or Common)
Mezzanine Debt
Convertible Debt
What is your primary investment focus?
Acquistions
Refinancing existing assets
Ground-Up/New construction Development
Improvements,Renovations,New FF&E, and Rebranding loans
Finding strategic equity partners
How has your company raised equity in the past?
Friends & Family
Silent Partners
Institutional Partners
Broker/Dealers and Placement Agents
Other
Please provide background information about your company and management team.
Please explain the project and what you would like to accomplish
What is unique about your project?
What other services do you require?
Your current Annual Revenue ?
Management Experience (1 low – 10 high)
Have you raised Money in the past?
Yes
No
If “Yes” how much ($)?
Do you have a Business Plan?
Board of Advisors?
Board of Directors?
How did you hear about ourmove.com?
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