Lancashire Investment Fund Panel

Application Form

All information will be treated in the strictest confidence. The information will only be supplied to panel members on that basis.

Company Name:
Named Contact:
Company Address:
Postcode:
Company Website:
Contact Tel:
Email Address:
Date Established:
Is the company a:
Sole trader Partnership
Limited Company Public Limited Company
Please detail the company ownership:
Please state investment amount required:
Employee Numbers: (inc Directors)
Please state the previous two years' turnover and profit:
Year One:
£
Turnover		 £
Profit
Year Two:
£
Turnover		 £
Profit
Please state your projected turnover and profit for the coming three years:
Year One:
£
Turnover		 £
Profit
Year Two:
£
Turnover		 £
Profit
Year Three:
£
Turnover		 £
Profit
Please attach your business plan:
If you can't send a business plan, please fill in the executive summary below (This is your chance to present the business - please give details of what your business does, what makes it special, sales, profits and at what stage you believe the business is at):