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Application Form For Borrowers First Names: Last Name: Business Name: PLEASE INDICATE THE CATEGORY THAT BEST DESCRIBES THE AGE OF YOUR COMPANY: Start-Up Business: New Business: Established Firm1: Est Firm 2: If Other Please Specify: Your Position In The Company: Your Email Address: Address 1. Address 2. City:  Province: Your Country: Zip Code or Postal Code:                                Phone:                                Fax: Which category/categories best describe your business? How much Capital do you need to complete your immediate plans? Is there a minimum investment that you would accept from any one investor? Does Your Business Need Assistance In any Of The Following Areas?    Finance    Management    Marketing    Web Publishing If Other Please Specify: Which of the following Types Of Investments Best suites your Needs? Active Partner   Non Active Partner   Equity Debt   Joint Venture Other Would You Consider Relocating For The Right Investment? Yes                No     Please give a brief desciption of your enterprise: Copyright © 1999-2000 NZIN TOP OF PAGE