Date: __________ Your Name: _____________________________________

The following information will help us help you transform your new business idea into an actual business. It will help you focus on what the major issues you will have to deal with before you invest a lot of time and money. Please print this page and complete as much information as you can. Use extra paper if necessary. BRING IT WITH YOU TO YOUR SCORE APPOINTMENT.

1. Product or Service: What is the product or service your business will offer? ____________________________________________________________________________________________________________________________________________________________________

What is unique about it? ______________________________________________________________

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What experience do you have with this (or related) product or service? _________________________

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2. Location: Where will the business be located? __________________________________________

In what area do you expect to sell; i.e. neighborhood, Delaware Valley, all U. S.? ________________

E-Commerce ____ Domain Name ______________________

3. Customers: Describe your customer or market. __________________________________________

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4. Competition: Who are the competitors in the sales area above? List competitors:

Name Location Strength Weakness

5. Sales: What do you expect your sales to be in $ in years 1, 2 and 3?

Year 1 $______ Year 2 $______ Year 3 $______

6. Money Required: How much money will you need to start (open your doors)?

Wages $______ Expenses* $______ Inventory $______Building: rent or purchase $ ______

Total $_______ * insurance, advertising, utility deposits, equipment, etc.

Where do you expect it to come from: yourself, bank loan or partner/investor? ___________________

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