Capital International Fund Assistance | International Business Loans | Convergex


Petition Form

About this form
This fully-completed digital form must preceed or accompany your documentation or your Petition to Convergex Caribbean, Ltd. will not be accepted.

Be aware that Petitions for less than US $1M are extremely unattractive to sources of funding and may very likely be completely unacceptable to them.

The information you provide us through this form will not be given or sold to any third party outside the funding process under any circumstances. Read our confidentiality statement at the bottom of this page for more information regarding how we use your data.

 Requirements
  • Complete all fields.
  • Enter valid e-mail address
  • Minimum capital of US $1M

Project's Legal Name
 Type of Capital   
Business Name
 Precise Amount of Capital (USD$)
$
(Format: "x,xxx,xxx.xx")
Use of Proceeds:
 Business Sector:


(select from menu or type in above)
Business/Project URL
(IE: http://www.businessproject.com)
 This Petition is completed on this date.
Format: MM/DD/YYYY



Principal's Full Name
  		 Address
(Street Address)
(Suite, PO BOX, etc)
Telephone
-  		 City
Fax
-  
State/Province


(select from menu or type in above)		 Postal Code
Email (yourname@email.com)
 Country



How did you learn about our company?
 If other, where?
Name of Convergex Contact:



I UNDERSTAND THAT THE WORLD OF PRIVATE, COMMERCIAL INTERNATIONAL FINANCE IS EXTREMELY FAST-PACED. I, THEREFORE, AGREE TO CONTACT CONVERGEX BY TELEPHONE WITHIN 24 HOURS OF RECEIPT OF MY DOCUMENTATION BY CONVERGEX. FURTHER, I UNDERSTAND THAT FAILURE TO MEET THIS CONSTRAINT OF TIME MAY DISQUALIFY MY PROJECT FOR NOMINATION TO FUNDING SOURCES.

If accepted by this office, your project will be nominated to a Funding Source. At this point, Convergex MAY extend an invitation to you to meet with us for the purpose of arranging Funder introductions. CONVERGEX will make every effort on your behalf to cause this to happen, but cannot guarantee that your Project will qualify for invitation to such a meeting.

This form is intellectual property of Convergex Caribbean, LTD. ALL content and submission data is Confidential and Proprietary.
 Initials:


NOTE: By submitting this form you are agreeing to our Terms of Site Use.

                
CONFIDENTIALITY STATEMENT: Convergex Caribbean, LTD fully appreciates the need to handle your business planning documentation with the utmost care and consideration of the private and confidential nature of its contents. One of the values most often expressed as essential by our Clients, of the services we provide, is the absolute discretion associated with our relationship. As an International (Bahamas-based) company, Convergex Caribbean, LTD is strictly bound to the same level of absolute secrecy as money managers and their clients have learned to appreciate in Swiss banks, as well as those in the Channel Islands, the Cayman Islands and elsewhere in the world.

As such, your documentation - and every detail of your financial affairs - will be shared on a strictly need-to-know basis. Be assured, that a hallmark of the unique and valuable services we provide includes our appreciation for the highest degree of privacy and confidentiality associated with commercial international finance.