SME Eligibility Questionnaire
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Company Details

Organisation Name*
Web Site
Date of established / Targeted to be established*
Business Type*

Company Address

Postcode:*
Building Name:
Secondary Name:
Street:*
District:
Town:*
County:

Contact Details

Forename*
Surname*
Position Within Organisation*
Telephone*
Email*

Questions

1: How many people does the company currently employ? (Full time equivalent)*
2: Is the company balance sheet more than €43M = £39M?*
3: Is the company annual turnover more than €50M = £44M?*
4a: Do other firms own more than a quarter of your company?*
5: What is/will be your trading status? (Sole trader, Private limited, etc.)*
6: Has the total state aid you have received in the last three years (if any) exceeded €200,000*
By signing this form, you will be added to the LoCASE business network and agree to receive information about services and opportunities available to you as a member of this service.
Date:   COMPANY CONTACT SIGNATURE:  
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