Growth Discovery Application

1

Which best describes you?* This field is required.

I want to grow profits and scale my business

I want to secure up to $500,000 in working capital for growth

2

What is your biggest growth challenge right now? (please share more details)* This field is required.

3

What is your desired growth goal in the next 12 months? (insert desired $ amount in revenues) * This field is required.

4

How much have you been spending on marketing and advertising each month to fuel the growth of your business for the last 6 months?* This field is required.

Less than $1000 per month

$1000-$2500 per month

$2500-$5000 per month

$5000-$10,000 per month

$10,000+ per month

I rely on referrals, and I don’t spend any money

5

What were your annual revenues for the last 12 months?* This field is required.

Less than $100,000

$100,000 - $250,000

$250,000 - $500,000

$500,000 - $1,000,000

$1,000,000- $2,500,000

$2,500,000 - $5,000,000

$5,000,000+

6

How quickly would you like to start increasing sales and profits?* This field is required.

I’m ready right now

Within 14 days

Within 30 days

Not sure

7

First Name* This field is required.

8

Business Email* This field is required.

9

Phone Number* This field is required.

Please enter a valid phone number.

10

How much funding are you looking to secure? (insert desired $ amount) * This field is required.

11

What’s the specific reason you require funding?* This field is required.

12

What were your annual revenues for the last 12 months?* This field is required.

Less than $100,000

$100,000 - $250,000

$250,000 - $500,000

$500,000 - $1,000,000

$1,000,000- $2,500,000

$2,500,000 - $5,000,000

$5,000,000+

13

How quickly does your company need the funding?* This field is required.

Less than 1 week

1-2 weeks

2-4 weeks

2-6 months

6 months+

14

First Name* This field is required.

15

Business Email* This field is required.

example@example.com

16

Phone Number* This field is required.

Please enter a valid phone number.