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Text File  |  1994-04-18  |  1KB  |  43 lines
  1. TARGETED MONEY SOURCES SEARCH APPLICATION
  2. (For Items 2 thru 6 Simply Attach Business Card)
  3.  
  4. []  1. Date:
  5. []  2. Name:
  6. []  3. Company:
  7. []  4. Address:
  8. []  5. City/State/Zip:
  9. []  6. Day Phone:
  10. []  7. Financing Purpose (Describe):
  11.  
  12. []  8. Financing Type (Check One Item):
  13.        [] Start-Up (Venture Capital/SBIC)
  14.        [] Accounts Receivables
  15.        [] Factoring
  16.        [] Inventory
  17.        [] Equipment/Machine & Leasing
  18.        [] Purchase Order (Vendor)
  19.        [] Buyout/Acquisition
  20.        [] Turnaround
  21. []  9. Investment Location:
  22. [] 10. Financing Amount:  $_________
  23. [] 11. Industry Type (Check One):  
  24.        [] Communications
  25.        [] Manufacturing
  26.        [] Distribution
  27.        [] Wholesale Trade
  28.        [] Retail Trade
  29.        [] Insurance
  30.        [] Real Estate
  31.        [] Finance/Banking
  32.        [] Construction
  33.        [] Business Services
  34.        [] Transportation
  35.        [] Medical
  36.        [] Computer
  37.        [] Electronics
  38.        [] Existing Technologies
  39.        [] New Technologies
  40.        [] Natural Resources       
  41. [] 12. Mail this completed application with $75 fee (Check or 
  42.        Money Order) for targeted money search service to:  Tom 
  43.        Welch, 6900 San Pedro, Ste. 147, San Antonio, TX 78216.