Funding Request - CAE Rive-Nord

1 Identification

2 Applicant

3 Other Shareholder or Associate #1

4 Other Shareholder or Associate #2

5 Other Shareholder or Associate #3

6 Other Shareholder or Associate #4

7 More Information

8 Summary Of Project

9 Confirmation

10

Business Identification
Company Name:*
Head Office Address:*
Mailing Address City Postal Code
Website:
Phone:*
Fax:
Director's Email Address:*

Applicant
Name:*
Phone:*
Email Address:*
Mailing Address:*
Mailing Address City Postal Code
How many other shareholders or associates are there?*

Other Shareholder or Associate
Name:*
Phone:*
Email Address:*
Mailing Address:*
Mailing Address City Postal Code

Other Shareholder or Associate
Name:*
Phone:*
Email Address:*
Mailing Address:*
Mailing Address City Postal Code

Other Shareholder or Associate
Name:*
Phone:*
Email Address:*
Mailing Address:*
Mailing Address City Postal Code

Other Shareholder or Associate
Name:*
Phone:*
Email Address:*
Mailing Address:*
Mailing Address City Postal Code

Brief Business Description
Business Products and services:*
Number of employees:*
Date Activity Started:*

DD
MM
YYYY

Project Summary
- Innovation
- Business succession
- Sustainable Development
- Online Commerce
Project Description:*
Project Objectives:*
Costs and Financing:*
Type of Costs Amount ($) Financing Amount ($)

Documents to submit with your request

Required documents for financial-assistance requests: - Annual financial statements for the last 2 years - Copy of bids obtained (Note: it is possible the advisor may request a minimum of 2 bids per expense); - Any other document deemed pertinent by the CAE Rive-Nord business advisor
Select files to upload:
Drop files here or

Declaration
Confirmation*
I certify that the information contained in this form is true, accurate, complete and I understand that the CAE RIVE-NORD may use this information for the purpose of reviewing or maintaining my application for funding.
- Yes, I certify this information.
Email
This field is for validation purposes and should be left unchanged.