Financing

APPLY FOR THE POWER PURCHASE AGREEMENT

APPLICATION FORM

Your Name

Company Name

User Phone No.

Fax Number

Your Email

Skype Name/Add (For conference calls if possible)

Full Names of Primary Principal(s) and Company Name

1) Office Number

2) Cell Number

3) Home Number

Email Address(1)

Email Address(2)

Email Address(3)

Developer Experience - Describe Briefly

Amount of funding requested USD

Total Project Value / Cost USD

Amount Of Cash Injection So Far USD

Description of Project and Use of Funds

Location of Project(s)