Building Bankable Businesses

Program Application: Business

Business Name: *

Business Start Date: *

Registered Street Address: *

Address 2:

City/Town: *

Country: *

Type of Business: *

Business License Number:

Company Incorporation Number:

Status of Business: *

Unincorporated Business License

Incorporated under Companies Act

None of the above

Number of Employees (incl. owner): *

1-3

4-6

7-10

11-15

16-20

21-25

25+

Estimated Monthly Sales/Income/Revenue: *

less than $10,000

$10,000 - $25,000

$25,000 - $50,000

$50,000 - $100,000

$100,000 - $165,000

Estimated Total Value of Business Assets: *

less than $100,000

$100,000 - $250,000

$250,000 - $500,000

$500,000 - $1,000,000

over $1,000,000