** Company Name
** Street Address
Street Address 2
** City
** Postal Code
** Country
** Main Phone
** Web Address
** How did you hear of us?
 If other:



** First Name:
** Last Name
** Title
** 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
.
** Industry/Sector
** 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)
** Proposed Valuation prior to this round (£M's)
** 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 5 + 7
..
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