WIB FINANCIAL GROUPS INQUIRY SUBMISSION SHEET
Instructions: We invite you to contact us regarding your business funding needs.
Please fill out the form below, including a short (two pages or less) or concept paper or executive summary. Then check appropriate box [s], print this page, fill it out in black ink. and forward to WIB 301 Forest Ave, Laguna Beach, CA 92651 or e-mail it to wibcom@aol.com
Your Name ___________________________________________________
Company Name _______________________________________________
Address _____________________________________________________
City_____________ State ____________ ZIP _____________
Country _____________________________________________________
Ph. ____________ Cell ____________ Fax ____________
E-mail _______________________________________________________
Estimate of amount of Funds needed $ ___________________________
Please Check Appropriate Box
[ ] Business start up funding [ ] Business Expansion funding [ ] Business operating capital [ ] Micronomic start up funding [ ] Credit line [ ] Arranging Bank business loan
[ ] SBA Assistance [ ] Real Estate projects [ ] Mining projects [ ] Oil & Gas [ ]
Film projects.
This inquiry is submitted by [ ] Individual [ ] WIB broker [ ] WIB Associate
If WIB broker or WIB Associate submit complete name and address with cell number and e-mail.
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