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Application Form
Personal Information
Date:
Name:
*
Company Name:
*
Email:
*
Current Business Address 1:
*
Current Business Address 2:
Current Business Address 3:
Telephone:
*
Mobile No :
How / Where did you learn about the Guinness Enterprise Centre?:
*
= Required Field
Business Information
Please specify in detail
Type of Business:
If existing business, date of business established:
Stage of Development:
Conceptual (business idea stage)
Start-up (business planning stage)
Entity Type:
Limited Company
Partnership
Sole Proprietorship
Present Number of Employees:
Projected Number of Employees:
After six months
After one year
Have you prepared a Business Plan?:
Yes
No
In-progress
What are the primary reasons for moving in to the Guinness Enterprise Centre?:
What is your present or former occupation?:
Describe any relevant experience that you or your business associates have:
Space Requirements
What space do you require to begin with?
What date do you wish to move into the Guinness Enterprise Centre?:
How many people will occupy the space?:
In the early stages are you prepared to share an office?:
(please note that the minumum period will not exceed 2 years)
Yes
No
Financial and Credit Information
Has a business you have owned ever ceased trading?
Yes
No
Bank Details:
Contact Name:
Bank Name & Address:
Phone:
Do you have projected or actual financial statement for the business?
Yes
No
Do you require to raise capital to operate the business?
Yes
No
Amount of funds required to operate?
Year One? €
Year Two? €
How do you plan to obtain these funds?
