BLC Application Form Question Title * 1. Where did you hear about the MTC's Business Launch Centre? Event Brochure Word of Mouth Reference Advertisement Internet Search Other OK Question Title * 2. Full Name OK Question Title * 3. Email Address OK Question Title * 4. Contact Number OK Question Title * 5. Region North West England North East England Yorkshire & Lancashire West Midlands East South London & South East Isle of Man & Channel Islands OK Question Title * 6. What is your current occupation? OK Question Title * 7. Describe your product/idea/concept in one line? OK Question Title * 8. What is the current status of your product? Concept (an idea, potentially with drawings and supporting calculations) Prototype (a fully working demonstration product) Pre- production (designed for manufacture - working & tested ) Trading (currently being sold) OK Question Title * 9. What is your company name? OK Question Title * 10. Is your company registered? Yes No If yes, please specify company registration number OK Question Title * 11. What industry sector would best describe your business? OK Question Title * 12. Do you have a business plan? Yes No OK Question Title * 13. What types of support would you need? Business case/plan Investment & funding Product development & design Prototype build Technical advice General advice Other Other (please specify) OK Question Title * 14. What is the estimated selling price for your product? (£) OK Question Title * 15. What is the estimated cost of your product - parts & labour? (£) OK Question Title * 16. What financial investment have you made to date?(£) OK Question Title * 17. What is the estimated revenue from your product in year 1? (£) OK Question Title * 18. What is the estimated revenue from your product in year 2? (£) OK Question Title * 19. What is the estimated revenue from your product in year 3? (£) OK Question Title * 20. What is the total size of the UK market for your product? (£) OK Question Title * 21. Do you have a patent? None Application Submitted Pending Approval Granted OK Question Title * 22. Do you have design right? None Application Submitted Pending Approval Granted OK Question Title * 23. Do you have a Trademark? None Application Submitted Pending Approval Granted OK Question Title * 24. Have you ever been declared bankrupt? Yes No OK Question Title * 25. Have you ever been disqualified from being a director of a company? Yes No OK Question Title * 26. Have any CCJ's been granted against you in the last 3 years? Yes No OK Question Title * 27. Do you have any criminal convictions? Yes No OK DONE
