EXPRESSION OF INTEREST FORM FOR NEW SUBSIDIZED PROGRAMS Full Name* City - Area* Address* Telephone* Email* Fax Website Type of Business ---Existing (More than 3 years)New Business (1-3 Years)Recommended (Establishment of a New Business) Sector of activity ---CommerceRendering of ServicesProcessingTourismAgricultureLivestock FarmingOther Form of business ---Sole ProprietorshipGeneral partnershipLimited partnership (L.P.)Limited Liability Company (LLC)Private Capital Company (PPC)Other Company name Brief Investment Description Investment Budget (Estimated) ---10.000€ to 20.000€20.000€ to 50.000€50.000€ to 100.000€100.000€ to 200.000€More than 200.000€ Business Location Have you joined previous subsidized programs? ---YesNo Other comments Contact hours Way of communication How did you find us? ---Internet searchYou were recommended by a friendInformative E-mailSocial Networks (Facebook etc.)