Reverse Merger Funding
Growth Capital for Serious Companies
Submit a Request
Submit a Request for Funding or Acquisition


Please fill out the form below. We are looking for companies with at least $5,000,000 in gross annual revenues, even if not yet profitable. We will review your request and either e-mail you or phone you with our response, usually within 2 days.
First Name:


Last Name:


Address Street 1:


Address Street 2:


City:


Zip Code:


(5 digits)
State:


Daytime Phone:


Evening Phone:


Email:


Your Position with the Company:


Company Description (include description of the business or industry the company is in, what state or states the Company is located in, number of employees, uniqueness or competitive edge, etc:


Explain what you are looking for (ie., funding for a reverse merger, to get bought out, to fund acquisition of the Company you work for or a competitor, growth capital, etc):


2006 Gross Revenues:


2006 Net Revenue or Loss (after tax):


2007 Gross Revenues:


2007 Net Revenue or Loss (after tax):


If you have 2006 or 2007 EBITDA numbers please explain:







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