Full Name
*
First Name
Last Name
E-mail
*
name@example.com
Contact Number
*
What type of business plan are you interested in?
*
Loan from the Bank
Loan from BDC
Government Loans
Black Entrepreneurship Loan Program
Investors
Licensing
Franchising
Approximately how much money are you seeking?
*
Less than $100K
$100K $500K
More than $500K
For what type of business are you seeking funding?
*
A business I am about to start
A business that I currently own
A Business I would like to acquire
How long has your business been in operation?
*
0-6 Months
6 months - 2 Years
2 - 4 Years
4 - 5 Years
5 Years +
What are your approximate total business revenues over the past 12 months?
*
$0 Revenue
Less than $50,000
$50,000 - $100,000
More than $100,000
Do you have a website?
*
Yes
No
What is your website address?
*
Please select the industry that best describes your business?
*
Please Select
Accountants
Advertising/Public Relations
Aerospace, Defense Contractors
Agribusiness
Agricultural Services & Products
Agriculture
Air Transport
Airlines
Alcoholic Beverages
Alternative Energy Production & Services
Architectural Services
Attorneys/Law Firms
Auto Manufacturers
Automotive
Banking, Mortgage
Banks, Commercial
Banks, Savings & Loans
Bars & Restaurants
Beer, Wine & Liquor
Books, Magazines & Newspapers
Broadcasters, Radio/TV
Builders/General Contractors
Builders/Residential
Building Materials & Equipment
Building Trade Unions
Business Associations
Business Services
Cable & Satellite TV Production & Distribution
Car Dealers
Car Dealers, Imports
Casinos / Gambling
Cattle Ranchers/Livestock
Chemical & Related Manufacturing
Chiropractors
Civil Servants/Public Officials
Clergy & Religious Organizations
Clothing Manufacturing
Coal Mining
Colleges, Universities & Schools
Commercial Banks
Commercial TV & Radio Stations
Communications/Electronics
Computer Software
Construction
Construction Services
Credit Unions
Crop Production & Basic Processing
Cruise Lines
Cruise Ships & Lines
Dairy
Defense Aerospace
Defense Electronics
Defense/Foreign Policy Advocates
Democratic Candidate Committees
Democratic Leadership PACs
Democratic/Liberal
Dentists
Doctors & Other Health Professionals
Drug Manufacturers
Education
Electric Utilities
Electronics Manufacturing & Equipment
Electronics, Defense Contractors
Energy & Natural Resources
Entertainment Industry
Environment
Farming
Finance / Credit Companies
Finance, Insurance & Real Estate
Food & Beverage
Food Processing & Sales
Food Products Manufacturing
Food Stores
For-profit Education
Forestry & Forest Products
Funeral Services
Gambling & Casinos
Garbage Collection/Waste Management
Gas & Oil
General Contractors
Health Professionals
Health Services/HMOs
Hedge Funds
HMOs & Health Care Services
Home Builders
Hospitals & Nursing Homes
Hotels, Motels & Tourism
Human Rights
Ideological/Single-Issue
Indian Gaming
Industrial Unions
Insurance
Internet
Labor
Lawyers & Lobbyists
Lawyers / Law Firms
Leadership PACs
LGBTQIA Rights & Issues
Liberal/Democratic
Liquor, Wine & Beer
Livestock
Lobbyists
Lodging / Tourism
Logging, Timber & Paper Mills
Manufacturing, Misc
Marijuana
Marijuana
Marine Transport
Meat processing & products
Medical Supplies
Mining
Mortgage Bankers & Brokers
Motion Picture Production & Distribution
Music Production
Natural Gas Pipelines
Newspaper, Magazine & Book Publishing
Non-profits, Foundations & Philanthropists
Nurses
Nursing Homes/Hospitals
Nutritional & Dietary Supplements
Oil & Gas
Other
Payday Lenders
Pharmaceutical Manufacturing
Pharmaceuticals / Health Products
Phone Companies
Physicians & Other Health Professionals
Postal Unions
Poultry & Eggs
Power Utilities
Printing & Publishing
Private Equity & Investment Firms
Pro-Israel
Professional Sports, Sports Arenas & Related Equipment & Services
Progressive/Democratic
Public Employees
Public Sector Unions
Publishing & Printing
Radio/TV Stations
Railroads
Real Estate
Record Companies/Singers
Recorded Music & Music Production
Recreation / Live Entertainment
Religious Organizations/Clergy
Republican Candidate Committees
Republican Leadership PACs
Republican/Conservative
Residential Construction
Restaurants & Drinking Establishments
Retail Sales
Savings & Loans
Schools/Education
Sea Transport
Securities & Investment
Special Trade Contractors
Sports, Professional
Steel Production
Stock Brokers/Investment Industry
Student Loan Companies
Sugar Cane & Sugar Beets
Teachers Unions
Teachers/Education
Telecom Services & Equipment
Telephone Utilities
Textiles
Timber, Logging & Paper Mills
Tobacco
Transportation
Transportation Unions
Trash Collection/Waste Management
Trucking
TV / Movies / Music
TV Production
Unions
Universities, Colleges & Schools
Vegetables & Fruits
Venture Capital
Waste Management
Wine, Beer & Liquor
Women's Issues
What is the deadline for the completion of the Business Plan?
*
1 week
2 Weeks
3 Weeks
3 weeks or more
Submit
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