By submitting this intake, I certify that I am authorized to provide information on behalf of the business identified above and that the information provided is true and complete to the best of my knowledge. I authorize The Powers Group, LLC (“TPG”) to use the information provided to evaluate the requested capital requirement, identify potential options, and communicate with me regarding this request. I authorize TPG to share this intake and related information with prospective capital providers, investors, partners, and service providers as reasonably necessary to evaluate, structure, or pursue potential opportunities. I understand that submission of this intake does not constitute an offer, approval, commitment, or agreement to provide or obtain capital and that additional information, documentation, authorizations, due diligence, or provider-specific materials may be required before any opportunity can proceed.
