QUICK ANGELS FORM FOR EQUITY FUNDING
Email address *
BACKGROUND
What is the name of your business (if registered)? *
Your answer
Name of proprietor/ Managing Director *
Your answer
Telephone Number *
Your answer
Ownership/Shareholding structure *
Name of Shareholder and shareholding percentage
Your answer
Where is your business located? *
Your answer
What is your business model?
Your answer
What is your estimated market size?
Your answer
Do you have off taker agreement(s)?
Your answer
How many staff members do you have?
Your answer
USE OF FUNDS
How much does your business/idea require? *
Your answer
What kind of financing do you require? *
In which industry do you operate? *
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