Business Plan Submission Form

Business Plan Submission Form
Company Name*
Contact Name*
Title*
Address*
City*
Province*
Phone Number*
Fax Number
E-Mail*
Web Address
How Did You Hear About Covington Funds
Name of Referrer
Date of Incorporation
Number of Employees
Industry Sector
Business Description
Financial/Intermediary/Broker Engaged
Amount Raised to Date (List Investors)
Current Net Monthly Burn ($)
Describe your product, stage of development:
Current Revenues