Principal Application

Requirements

Upload or overnight mail your business plan
Minimum capital of US $1M
Except for hard money loans and non-recourse loans ($250k minimum + collateral)

Confidentiality Statement
Intrepid Private Capital Group is committed to maintaining the confidentiality, integrity, and security of personal information about our current and prospective customers. We will never share or sell your information with any 3rd party. Your information will only be used as necessary by Intrepid Private Capital Group office and potential Funding Sources as necessary and with your full disclosure and awareness. You can be sure that we will do everything possible to keep your information secure.

Project Details

Project's Legal Name	Project Location
Business Name	Business Sector Please Specify:
Type of Capital Please Specify: Collateral offered: Value:	Precise Amount of Capital (USD) $ Enter USD Only - Format: x,xxx,xxx.xx Minimum amount required: US 1 Million
Use of Proceeds: (IE: Inventory, Purchase Orders, Working Capital)	Business/Project URL (IE: http://www.businessproject.com)

Contact Information

Principal's Full Name

Address
(Street Address)
(Suite, PO BOX, etc)

Telephone

City

Cell Phone

Fax

State/Province

Postal Code

Email (yourname@email.com)

Country

Business Plan

How would you like to send us your business plan?

Upload a copy to this application from my computer.

I will forward a hard copy of my Business Plan by overnight courier to your offices.

How did you hear about us?
(optional, but your input is really appreciated)

How did you learn about our company?	If you were referred by an Intrepid contact, please let us know who:
If you heard about us somewhere else that was not listed, please let us know where:

Terms of Agreement

By submitting this form, you acknowledge that you have reviewed the Terms of Site Use and have thoroughly reviewed the entire Intrepid Private Capital Group website. You also confirm that you understand that the world of private, commercial, international finance is extremely fast-paced. We will confirm receipt of the project documentation within 24 hours. If accepted by this office, your Project will be presented to one or more Private Funding Sources. At this point, Intrepid Private Capital Group MAY extend an invitation for you to meet with us for the purpose of arranging Funder introduction(s) either by telephone conference or in person. Intrepid Private Capital Group will make every effort on your behalf to arrange this, but cannot guarantee that your Project will qualify for an invitation to such a meeting. This form is the intellectual property of Intrepid Private Capital Group, LLC. ALL content and submission data is kept strictly Confidential and Proprietary.