Personal Information  
First and Last Name:  
Title:  
Company Name:  
Address:  
City:  
State/Province:  
Zip/Postal Code:  
Country:  
Other:  
Phone:   Ext:  
Fax:  
E-mail Address:  
Web Site URL:  
 
Business Information  
Type of Business:  
Number of Employees:  
Yearly Sales Volume:  
Number of Years in Business:  
What is the purpose of this business?  
What is the key message or phrase to describe your business in one sentence?  
What is your reason for starting your own business?  
What is your product or service?  
Can you list three unique benefits of your product?  
Do you have datasheets, brochures, diagrams, sketches, photographs, related press releases or other documentation about your product/service?  
What is the product application?  
What led you to develop your product?  
Is this product or service used in connection with other products?  
List the top three objections to buying your product/service immediately?  
When will your product be available?  
Who is your target audience?  
Who is your competition?  
How is your product differentiated from that of your competition?  
What is the pricing of your product versus your competition?  
Are you making any special offers?  
What plans do you have for advertising & promotions?  
How will you finance company growth?  
Do you have the management team needed to achieve your goals?  
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