01908 109296 
victoria@businessliveglobal.com 

Let us help you raise funds for your business 

Is your business in need of a capital infusion? BLG has a network of investors and financial institutions that can help qualified businesses with their equity or debt financing needs.  
 
BLG will match qualified businesses with the right investor for your financing needs. 
 
The first step is to complete the application form below. Take your time, as your responses may be passed to potential investors. The more thorough your responses, the stronger your application can be. 
 
Once you submit your business plan, proforma, and application below, you will have the option to book an appointment with a BLG specialist to review your application and further discuss your financing needs. 

FUNDING REQUEST APPLICATION 

List all sources and uses of funds for project and USD amounts associated with each (total sources must match total uses) 
Sources of funds
$ USD
Uses / Purposes of funds
$ USD
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SUMMARY of Company or Project’s 5-year projected financials 
Year 1 ($ USD)
Year 2 ($ USD)
Year 3 ($ USD)
Year 4 ($ USD)
Year 5 ($ USD)
Total Revenue
Total Operating Expense
EBITDA
Free Cash Flow (FCFE)
If seeking debt financing, please list assets that may be used to support the loan 
Asset Description
Current Asset Value ($USD)
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If you were referred by someone, please tell us the name of the person who referred you 
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