Deschutes Captital Ltd. Making Opportunities Happen
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Funding & Service Sources Form


Deschutes Capital wants to ensure that we can provide the best funding and services to our clients. If your company provides financing or services offered by Deschutes Capital to middle market businesses and can compete with the best in your field, we would appreciate the opportunity to bring you business.

Deschutes Capital appreciates the opportunity to offer our services. We should be able to reduce your marketing costs and expand your client base.

Please complete and submit the information below. We will contact you to discuss your services in further detail. Or if you prefer, you can print the completed form and either:

     
Mail it to:   Deschutes Capital
Attn: Corporate Finance
120 Gordon Avenue
Tarrytown, NY 10591-1910 or,
     
You may
also call:		   David Wyly, President
(212) 888-5988

The information provided will be handled as confidential and not provided to any third party.


Contact Name: 		 
Function/Title:  
Name of Company:  
Type of Business:  
Company Address:  
City:  
State:          Zip code:
Telephone #:  
Fax #:  
Email Address:  
Financial Service(s)
Offered:		  
Minimum Amount
of Financing Provided:		  
Maximum Amount
of Financing Provided:		  
Type of Businesses Financed:  
Industries Preferred:  
Ineligible Industries:  
Additional information we should know about your company or its financing capability(ies):
(Please provide details specific to financing provided.)

 

Deschutes Capital appreciates the opportunity to explore the possibility of working with your company. After completing the above information, please click on the submit button below. Thank you.

     
 

 
     
Mr. David Wyly
Deschutes Capital, Ltd.
120 Gordon Avenue
Tarrytown, NY 10591-1910
Phone: (212) 888-5988
sales@deschutescapital.com
 
Deschutes Capital Ltd.