Black Country Enterprise Loan Fund (BCELF)

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Black Country Enterprise Loan Fund (BCELF) Loan Enquiry * Denotes a required field * Name First Last * Title If other, please specify Title * Age Band Under 31 31 - 45 Over 45 * Email * Contact telephone number (mobile preferred) * Name (or proposed name) of business * Main products / services * Type of business Sole Trader Partnership Limited Company Other If other, please specify type * Business location address Dudley Sandwell Walsall Wolverhampton Other (information on the Urban Living Area can be found at www.urbanliving.org.uk) If other, please specify location If other, please specify benefit to Black Country (For this purpose, the Black Country comprises of the boroughs of Dudley, Sandwell, Walsall or Wolverhampton) * Type of loan required Start Up (trading less than one year) Business Development (trading over one year) * How much do you want to borrow? (Maximum is 10,000) (Maximum �10,000) * What is the value of your personal investment? (Please insert 0 if 'none') How much from other sources? (Please leave blank if 'none') Please specify if other sources * What do you want to borrow the money for? (Please note: funding is not available for vehicles, refurbishment of a landlord's premises or training) E.G. equipment, marketing, stock etc Please note: funding is not available for vehicles, refurbishment of a landlord's premises or training * How did you hear about BCELF? Additional information in support of your enquiry (e.g. sector qualifications and experience or business experience) (e.g. sector qualifications/ experience; business experience) * Date / MM / DD YYYY