Project Request Form | IJJC Donation and Contribution Process

Project Funding Submittal Form

The Project funding form is used to submitted a project for funding. You can provide information on contracts, receivables, Purchase orders, and for just a one time requirement. All investors are vented as registered members.

1 Company Information

2 Contact Information

3 Funding Requirements

Section Break
Company Name*
Doing Business As (DBA)
Business Category - Publicly Trading or Private?*
- You must select at least one category.
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Select Industry
Time in above Industry:
Please provide the number of years
insert logo
FileTitle
Please insert logo (Optional)
Business Description:*

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Contact Information:
Name*
First Last
Phone Number (optional)
Email*
Enter Email Confirm Email

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Funding Requirements*
Please from one of 5 funding areas:
Invoice Financing
Customer Name*
Type of order*
Use CTRL for Multiple Selections
Date Billing Started*
Date Format: MM slash DD slash YYYY
Date Billing period ended*
Date Format: MM slash DD slash YYYY
Invoice Amount for funding*
Service or Product provided*
Purchase Orders
Customer Name*
Type of order*
Use CTRL for Multiple Selections
Date Order was Awarded*
Date Format: MM slash DD slash YYYY
Order Delivery Date*
Date Format: MM slash DD slash YYYY
Please provide the purchase order dollar amount.*
Service or Product provided*
Receivable Financing
Customer Name*
Type of order*
Use CTRL for Multiple Selections
Date Order was Awarded*
Date Format: MM slash DD slash YYYY
Contract Closing Date*
Date Format: MM slash DD slash YYYY
Please provide contract billiing amount*
What is the billing Cycle*
- Bi-monthly
- Monthly
- Quarterly
- Per deliverable
Service or Product provided*
Join Venture
Project Name
Type of order*
Use CTRL for Multiple Selections
Describe the Opportunity and your experience rating 1 to 10*
Untitled*
Date proposal is Due?
Date Format: MM slash DD slash YYYY
Contract Support
Describe what service are required and why?*
When will the service be required
Date Format: MM slash DD slash YYYY
Support Service required*
Type of resources- Personnel and/or Equipment Estimated Buget Resource Required to provide support services
Name
This field is for validation purposes and should be left unchanged.

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User Information

Project Funding Submittal Form

Section Break

Contact Information:

Please from one of 5 funding areas:

Invoice Financing

Purchase Orders

Receivable Financing

Join Venture

Contract Support

Donation Contribution Services

FORMS

TERMS AND POLICES

Type of resources- Personnel and/or Equipment	Estimated Buget	Resource Required to provide support services