SISA Visa Expression of Interest Form
Thank you for your interest in The Moonshine Lab & SISA Visa. In order to see if we are the right fit for you and vice versa it is important we understand a bit more about your business idea. Please complete as much as you can of the form below and leave any questions you do not have information for.
Email *
Your Name *
Email Address *
Country of Origin *
Company Name *
Sector/Industry *
Brief description of the product or service. *
Brief description of your business model. *
What is the size of the market? *
When did you start working on the project? *
What is the revenue to date? *
Average monthly revenue in the past 6 months.
Projected revenue for the next 12 months.
How many active users/customers do you currently have? *
Who are your three closest competitors? *
What is your position in the company? *
How many equity holders are there? *
How much equity do you hold in the company? *
What is your estimated valuation of the company? *
We will sometimes take a minority equity position in companies we like (and that like us) and help design/build their product as a technical co-founder. Are you open to having us as a co-founder? If you already have tech on your team, or just wish to pay for product development (with us or any other development partner) without giving up equity please answer no, and that's fine too :) *
Describe your current team.
How much time in hours can you commit each week?
How much capital have you invested in the company so far? *
How much capital do you have for further investment in development and marketing (if none, are you currently raising capital, if yes, how much and at what valuation?) *
In what capacity would you like The Moonshine Lab to become your co-founder? *
Please complete this short video interview to support your application and confirm when completed in the form field below. Please start the interview here: *
Please email business plan to and check the box below when complete: *
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