FINANCIAL FUTURE SUMMIT EXPRESS INTEREST BELOW Days Hours Minutes Seconds Startup & Established business Umhlanga 26 November, Wednesday, 8h30-13h00 "*" indicates required fields 112233 Name First Last Email* Cell-phone*Enterprise Name*Trading Name*Nature of Business*Sector*AgricultureConstructionForestryICTMarketing, Advertising, Communication & ResearchTourismOtherB-BBEE Contributor*100% Black Owned (Level 1)More than 51% Black Owned (Level 2)Less than 51% Black Owned (Level 4) Annual Sales*R 0< R 1 million< R 2 million< R 5 million< R 10 million> R 10 millionWhich bank are you using for the business?*African BankAlbarakaABSABidvestCapitecDiscovery BankFirst National BankInvestecNedbankRand Merchant BankStandard BankSasfinTyme BankOtherDo you have a financial advisor?*YesNoWhich accounting software are you using?*NoneExcel spreadsheet (no software)Bank provided accounting softwarePastelQuickbooksSageXeroOther Total Funding required*I do not require funding< R 1 million< R 3 million< R 5 million< R 10 million> R 10 millionWhich of the following do you require funding for? Land Property Vehicle Machinery Loadshedding equipment Equipment Working capital Marketing expenditure Other If applicable, tick all that applyWhat are the top 3 challenges you wish to address in the next 12 months?*General Terms and Conditions* Yes, I agree Chart Your Path takes your privacy and the protection of your personal information seriously. By expressing interest, you give Chart Your Path permission to communicate with you in future regarding your business