| Head Office Location |
| Region |
|
| Country |
|
| State / Province |
|
| Investment Funding Request: |
| Industry Group |
|
| Type of Company
(one line description of your company) |
|
(e.g., Motion Picture Production, Property Development, Circuit
Board Manufacturer) |
| Investment Amount Sought |
|
| Minimum Amount from any one Investor |
|
| Type of Investors Preferred |
|
| Financing Stage |
|
|
| Current Annual Sales Range |
under
US$500,000
US$500,000 - US$1M
US$1M -
US$2M
US$2M -
US$10M
more
than US$10M |
| Estimated Sales 3 Years Time * |
|
| Estimated Market Size in 3 Years Time |
under
US$500,000
US$500,000 - US$1M
US$1M -
US$2M
US$2M -
US$10M
more
than US$10M |
| Estimated Months to Profitability |
| |
| Previous Round of Financing
Hold down the Shift key (Macintosh)
or the Control
key (Windows)
to make Multiple Selections. |
|
| Total Amount Raised |
|
| How Much Do You Plan to Raise in Futher Rounds of Financing |
|
| Which of the Following Best Describe Your Company
Hold down the Shift key
Macintosh)
or the Control key (Windows)
to make Multiple
Selections. |
|
| Has Your Company Received Government or Community Grants
( If Yes, please briefly describe.) |
|
Yes
No
|
| Has Your Company Received any Professional Assistance
from the following
Hold down
the Shift key (Macintosh)
or the Control key (Windows)
to make
Multiple Selections. |
|
| Management Team
( Details of up to 5 team members
) |
|
( maximum 400 words) |
| Briefly describe major shareholders
(if not included
in management team ) |
|
( maximum 100 words) |
| Please briefly describe up to three your major
competitors |
|
( maximum 100 words) |
| Please briefly describe your strategic alliance partners
(if any) |
|
( maximum 100 words) |
| What is the status of your business plan |
|
| What is the status of your products / services |
|
| Year found |
|
| Legal structure |
(e.g. sole trader, partnership, limited partnership, limited
proprietary company, unit trust, etc.) |
| Number of 'full-time equivalent' employees |
|
| Please briedfly describe the intellectual property
rights owned by your company that will give your company competitive
advantage |
|
( maximum 100 words) |
| Please give up to 10 keywords that are most frequently
used to describe your business |
|
| Brief summary |
|
( maximum 400 words ) |
| Detailed description |
|
( maximum 1000 words ) |
| URL |
|
| Contact details |
| Name of person submitting this listing |
|
| Contact person name * (if different from above) |
|
| Title |
|
| Relationship with the listing firm |
|
| Name of firm * |
|
| Firm address |
|
| City |
|
| State / Province |
|
| Country |
|
| Zip / Postal Code |
|
| Phone * |
|
| Fax |
|
| Email * |
|
| URL |
|
| Permission to publish contact details |
| I authorize GFS to post the following contact details of my
company on the listing page.
(Please uncheck those you do not wish
to be published).
|
| How did you find about us |
|
|
Please inform me of the new products/services offered by GFS
and its associates.
Yes
No |
| I
guarantee the information provided is true and correct to the best of my
knowledge and judgment and understand that I alone will be responsible
for any false and/or incorrect information submitted.
Yes
No
|
|
|
