ILB Intake Form

Thank you for your interest in joining our network. Please complete this form with your organization details.

Organization Name *

Contact Name *

Email Address *

Phone Number

Industries *

Technology

Healthcare & Life Sciences

Financial & Professional Services

Consumer & Retail

Industrials & Manufacturing

Construction, Infrastructure & Real Estate

Energy & Natural Resources

Transportation & Logistics

Food, Beverage & Hospitality

Media, Entertainment & Sports

Education & EdTech

Agriculture

Government & Defense

Cannabis

Telecommunications

Other

Is Industry a hard requirement?

Yes: only send me opportunities in the industries I have selected above

No: industry is not a hard requirement

Business Size

Early Stage (Pre-Revenue)

Micro ($100,000 - $1M Revenue)

Small ($1M - $10M Revenue)

Mid-Market ($10M - $100M Revenue)

Enterprise ($100M+ Revenue)

Distressed / Turnaround Situations

Is business size a hard requirement?

Yes: only send me opportunities that meet my business size requirements above

No: business size is not a hard requirement

Minimum Revenue Requirement (enter amount in dollars)

Is Minimum Revenue a hard requirement?

Yes: only send me opportunities that meet my minimum revenue requirement above

No: minimum revenue is not a hard requirement

Minimum EBITDA Requirement (enter amount in dollars)

Is Minimum EBITDA a hard requirement?

Yes: only send me opportunities that meet my minimum EBITDA requirement above

No: minimum EBITDA is not a hard requirement

Geography / Markets Served

United States Only

North America

South America

Europe

Asia

Africa

Australia/Oceania

Global

Any specific geographic preferences or restrictions?

ILB Type *

Direct

Intermediary

Both - Direct and Intermediary

M&A

Capital Type *

Debt

Equity

Convertible Note

M&A

Fund to Fund

Debt & Equity

Debt Details

Minimum Check Size (Debt)

Enter amount in dollars

Maximum Check Size (Debt)

Enter amount in dollars

Equity Details

Minimum Check Size (Equity)

Enter amount in dollars

Maximum Check Size (Equity)

Enter amount in dollars

Debt/Equity Combo Details

Minimum Check Size (Debt/Equity Combo)

Enter amount in dollars

Maximum Check Size (Debt/Equity Combo)

Enter amount in dollars

How were you referred to us?

Additional Notes