FORTUNE 500 FUNDING CORP.

* * * * * CORPORATE BAILOUT DIVISION APPLICATION * * * * *

 

* * * * * CLIENT DATA SHEET * * * * *
(Privileged and Confidential)

In order for us to understand your needs and represent you in finding your quest for Corporate Bailout, we require the following information:

Your Web Page Address:
Primary Contact:
Company Name:
Mailing Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone number of Primary Contact:
E-Mail Address:
Fax:

Specific Corporate Bailout search requirements:
1. Asset size ($Million/$Billion):
2. Corporate Bailout funding required:
3. Geographic location(s):
4. To assist us in understanding your needs, what are your plans?
5. Do you have a business plan?
6. Do you have a strategic plan?
7. Do you have a Board of Directors?
8. Will you leave existing management in place?
9. Will you require third party due diligence?
10. Is there any information you can share about your Corporate Bailout required?
11. How did you hear about us?
12. Internet search, which engine?

Please tell us about your needs or any other question:

Thank you for contacting us. We will be in touch with you very soon.

If you would like additional information about our Worldwide Corporate Bailout Division,

CONTACT US NOW AT: info@fortune500fundingcorp.com