The Capital Corporation : Entry Form

* Company Name:
_ Mailing Address:
_ City:
_ State:
_ Zip:
_ Website:
_ Type of Ownership (Public or Private):
_ Years Business Established:
_ Has the company merged with another cmpany in the past 3 Years?
_ Industry sector (Manufacturing, Professional Services, Retail, etc.):
_ Briefly describe product/service offering:
Please list 3 key vendors who have contributed to your success:
_ 1.
_ 2.
_ 3.
Please write your company name exactly as you want it to appear in press releases and on award. If name is an acronym, please let us know what it stands for
Top executive information:
_ Name:
_ Title:
_ Email:
_ Phone:
CFO* (or top financial manager) information:
_ Name:
_ Title:
_ Email:
_ Phone:
Must be available to verify revenue & employment data.
_ How did you learn of the Fastest-Growing Companies Program?
IMPORTANT NOTE: THE REVENUES AND EMPLOYMENT FIGURES BELOW MUST BE FOR SOUTH CAROLINA ONLY.
For Most Recently Completed Fiscal ear (e.g. 12-31-09)
_ Month:
_ Year:
_ Gross Revenues in SC (or assets if financial institution for fiscal year):
_ Full Time Employees in SC as of fiscal year-end:
For Fiscal Year Ending Prior to Most Recently Completed Fiscal Year (e.g. 12-31-08)
_ Month:
_ Year:
_ # Gross Revenues (or assets if financial institution for fiscal year end):
_ Full-Time Employees in SC as of fiscal year-end:
For Fiscal Year Ending Prior to Most Recently Completed Fiscal Year (e.g. 12-31-07)
_ Month:
_ Year:
_ Gross Revenues (or asets if financial institution for fiscal year end):
_ # Full-Time Employees in SC as of fiscal year-end:
Please list any Chambers of Commerce in which you currently participate:
_ 1.
_ 2.
_ 3.
_ 4.
Form Submitted By:
_ Name:
_ Title:
_ Email:
_ Phone:
_ Date of submission:
* Enter Auth Code

The Capital Corporation

Investment Bankers to the Middle Market.

Entry Form

Enter Now!

Deadline extended to July 31!