** Company Name
** Street Address
Street Address 2
** City
** Postal Code
** Country
** Main Phone
** Web Address
** How did you hear of us?
<Select one>
Personal referral
Website
Magazine/newspaper article
Other
If other:
** First Name:
** Last Name
** Title
<Select one>
Associate
Associé
Bereichsleiter
Board Member
Business Development Director
Business Development Manager
Business Development Officer
CEO
CEO & President
CFO
Chairman
Chairman & President
Chairman & Chief Executive Officer
Chairman & CEO
Chairman & President & Chief Executive Officer
Chairman & Managing Director
Chairman of the Board
Chargé d'Affaires
Chief Executive Officer
Chief Financial Officer
Chief Operating Officer
COB/CEO
COB/CEO/President
Co-Chairman
Co-Managing Director
Co-President
Commercial Director
Company Secretary
Conseiller du Directoire
Corporate Vice President
Corporate Development Director
Corporate Development Manager
Corporate Senior Vice President
Deputy Chairman
Deputy Managing Director
Development Director
Directeur
Directeur Administratif et Financier
Directeur Associé
Directeur du Développement
Directeur Financier
Directeur Général
Directeur Général Adjoint
Directeur International
Director
Director of Business Development
Director of Mergers & Acquisitions
Director of Strategic Planning
Director of Development
Director of Corporate Development
Director of International Development
Director of Marketing and Strategy
Executive
Executive Chairman
Executive Director
Executive Vice President
Finance Director
Finanzleiter
Founder
Founder & President
General Manager
General Partner
General Secretary
Geschäftsführer
Group Chief Executive Officer
Group Finance Director
Group Managing Director
Group Marketing Director
Group Vice President
Joint Managing Director
M&A Manager
Manager
Manager of Corporate Development
Managing Director
Managing Partner
Marketing Director
Marketingleiter
Marketing Manager
Mitglied des Vorstands
NO LONGER AT COMPANY
Partner
President
President & CEO
President & Chief Executive Officer
Président Directeur Général
Presidente
Principal
Sales and Marketing Director
Sales Manager
Secrétaire Général
Secretary
Senior Director
Senior Vice President
Stellvertretender Geschäftsführer
Strategy Director
Technical Director
Vice President
Vice President of Business Development
Vice President Corporate Development
Vice President of Engineering
Vice President of Finance
Vice President of Finance and Chief Financial Officer
Vice President of Marketing
Vice President of Sales
Vice President of Strategic Planning
Vorstandsvorsitzender
** Email Address
Direct Phone
Mobile Phone
.
Please limit text entries as indicated. The system will not save any information beyond the specified length.
Date Founded
.
<Month>
January
February
March
April
May
June
July
August
September
October
November
December
<Year>
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
** Industry/Sector
<Select one>
Communications & Networking -- Broadcasting
Communications & Networking -- Cable Service Operators
Communications & Networking -- Connectivity Products
Communications & Networking -- Fiberoptic Equipment: Photonics
Communications & Networking -- Internet Service Providers
Communications & Networking -- Modems and Facsimile
Communications & Networking -- Tele/Videoconferencing Equipment and Services
Communications & Networking -- Telecommunications Service Providers
Communications & Networking -- Wireless Communication Equipment
Communications & Networking -- Wireless Service Providers
Consumer and Business -- Online Business Services
Consumer and Business -- Online Consumer Services
Consumer and Business -- Educational and Training Services
Consumer and Business -- Financial Institutions and Services
Electronics and Computer Hardware -- Automated-Manufacturing Equipment
Electronics and Computer Hardware -- Computer Add-on Boards
Electronics and Computer Hardware -- Computer Peripherals
Electronics and Computer Hardware -- Computer Systems
Electronics and Computer Hardware -- Data Storage
Electronics and Computer Hardware -- Displays
Electronics and Computer Hardware -- Electronic Components
Electronics and Computer Hardware -- High-Tech Consumer Electronics
Electronics and Computer Hardware -- Memory Systems
Electronics and Computer Hardware -- Power Supplies
Information Services -- Consultants (Information Technology)
Information Services -- Data-Management Services
Information Services -- Information Providers
Information Services -- Online Publications and Content Providers
Information Services -- Other Online Services
Medical Devices and Equipment -- Medical Lab Instruments
Medical Devices and Equipment -- Medical Supplies
Medical Devices and Equipment -- Medical Imaging Equipment
Medical Devices and Equipment -- Other Medical Equipment
Medical Devices and Equipment -- Patient Monitoring
Medical Devices and Equipment -- Surgical Devices
Medical Devices and Equipment -- Therapeutic Devices-Implantable
Medical Devices and Equipment -- Therapeutic Devices-Other
Other --
Retailers -- Electronic Commerce
Semiconductors -- Application-Specific Integrated Circuits
Semiconductors -- Integrated Circuit Production (inc. Test Equipment)
Semiconductors -- General-Purpose Integrated Circuits
Software -- Automated-Manufacturing Software
Software -- Business Applications Software
Software -- Connectivity/Communications Tools
Software -- Database Software
Software -- Design-Automation Software
Software -- Educational and Training Software
Software -- Graphics and Publishing Software
Software -- Multimedia Networking Software
Software -- Network/Systems Management Tools
Software -- Recreational and Home Software
Software -- Software Development Tools
Software -- Systems Software
Software -- Vertical-Market Applications Software
Software -- Workflow Software
To Be Completed -- To Be Completed
**Stage
<Select one>
Seed -- Pre-prototype, first money received
Start-up -- Capital for product development and initial marketing
Revenue Generating -- A company which is generating revenue but not yet profitable
Profitable -- A profitable company, seeking expansion
Rescue Turnaround -- A once profitable business, which is now loss-making
Secondary Purchase -- Purchase of existing shares from another shareholder
** Brief Company Description
(250 character limit-5 rows)
** Describe the Product/Concept
(1000 character limit-20 rows)
** Describe and Quantify the Market Opportunity
(1000 character limit-20 rows)
** Describe the Competition
(now and future)
(1000 character limit-20 rows)
** State Key Financial Information
(current and forecast):
(1000 character limit-20 rows)
** Describe Mgt Team
(positions, background, expertise):
(1000 character limit-20 rows)
** How much are you looking to raise?
(
£M
's)
<Select an amount>
<1
1 - 3
3 - 5
5 - 9
9 - 15
> 15
** Proposed Valuation prior to this round
(
£M
's)
<Select an amount>
<1
1- 5
6 - 10
11 - 15
16 - 20
21 - 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
56 - 60
61 - 65
66 - 70
71 - 75
76 - 80
81 - 85
86 - 90
91 - 95
96 - 100
>100
** Funding History
(attach Cap. Table below)
(1000 character limit-20 rows)
** How would you plan to realise the value of the company? Within what timeframe?
(1000 character limit-20 rows)
If appropriate, please attach files here. DO NOT attach business plan. Use the Browse button to pick the appropriate file.
1st Resume
.
2nd Resume
3rd Resume
4th Resume
Capitalisation Table
Spam Check
Please add together
1
+
6
.
.
Questions, problems, complaints about this system? Please send email to:
info@amadeuscapital.com