Thank you for your interest in the GFirst LEP Banking & Finance Clinics.

To help us assess the needs of your business, please complete the sections below as fully as possible. Once we’ve received your details we’ll get in touch.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Company Name

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* 4. Email Address

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* 5. Telephone number

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* 6. What is the nature of your business?

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* 7. When did the business start trading?

Date / Time

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* 8. What is the amount of funding required for the business?

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* 9. What is the funding required for?

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* 10. What issues are being faced in securing the funding required?

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* 11. Who have you approached to date to discuss funding options?

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* 12. What are the outline plans for the business over the next 3 years?

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* 13. Please provide a brief financial picture of the business. Any or all of the following would be useful but are not essential:
Last 2 years accounts
Forecasts
Business Plan
Any other brief information that may help the panel understand your plans and requirement.

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* 14. Are there any confidentiality issues you would like us to take into account?

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* 15. Are there any organisations that you would prefer not to be present at the session?

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* 16. Where did you hear about the clinic?

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