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Share with us your purpose and where you are at in your journey
HOW WE COLLABORATE
COMPLETING OUR ONLINE APPLICATION
GETS US UP TO SPEED
Your application is
treated
confidentially and carefully reviewed
against our criteria and will be responded to
First Name
Last Name
Email
Company
Phone
Website
Your Purpose
Number of founders
1
2
3
More than 3
What is the problem you are wanting to solve?
Describe your product/service roadmap i.e. at what stage of development is your product or service?
What is your unique value proposition?
Who are your top 3 competitors?
What are your key points of difference?
What is the business/revenue model for your product/service?
What is your go to market strategy?
Please list key members of your management team
What level of revenue are you generating?
< $500,000
$500,000 - $1,000,000
> $500,000
How urgent is your need for funding?
< 6 months
6 - 12 months
> 12 months
What do you currently value your business at?
What do you see as the potential value?
What time frame do you think this could be achieved in?
Referrer
Business Overview/Pitch Deck
Upload File
Upload supported file (Max 15MB)
SUBMIT
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