We Can Help You Raise The Capital You NeedNeed an NDA? - Click Here 1 Step 1 About You Your Full NameFirst and surname Where are you based?Select An OptionUK / IrelandEUUSACanadaOther Rise NDA signed?There's a link to our NDA at the top of the page.YesNoI don't need an NDA Have we had a call yet?Yes we've spokenNo, we haven't spoken yet Your Email AddressBusiness email only please (GDPR)email Your RoleCompany owner / partner / founderAdvisor / BrokerInvestorNon Executive Director Website AddressOf the company you are raising funds forairplay CurrencyCurrency are you raising fundsBritish PoundsUnited States DollarsCanadian DollarsEurosOther Company / Shareholders/ Directors Jurisdiction of your registered companyPleaseSelect An OptionUnited StatesUnited KingdomCanadaEUOther ShareholdersHow Many Shareholders are there?11-23-5Above 5Above 10Above 20 DirectorsHow many Directors are there?12345678910More than 10 Persons with significant controlOver 20% holdingSelect An OptionJust meMe Plus Other DirectorsOutside InvestorsMe plus Directors plus outside investors Company confirms that it is solvent and does not have any current legal or regulatory issues pending.statementYes I can confirm No I cannot confirm Financials: Submitted under our Mutual NDA Revenue Statuspick one!Pre revenue (start-up)At revenues (start-up)Established company with revenues/cashflow Monthly RevenuesIf you are generating revenues now Number of Current Subscribers/ CustomersApproximate1001000 Number of Paying Subscribers / CustomersContributing to revenues Financials Step 2 Do you have up to date financial statements?Financial StatusYesNo Do you have cash in the bank?financial statusYesNo Does the company have any outstanding loans?Financial StatusYesNo Does the company have any liquid or non liquid assetsYesNo Largest Monthly Overhead What is your current largest recurring monthly outlayPlease include the amount0 / Funding Amount of funding received to date since inceptionfunding for equity Was equity exchanged for this funding?If not, leave at 0%0%0100% What amount have the founding partners invested into the company?FundingSelect An Option01000 - 10,00010,000 - 20,00020,000 - 30,00030,000 - 40,00040,000 - 50,000Above 50,000Above 100,000Above 200,000Above 250,000 Deployment of funds Deployment of fundsLess than 10%10% - 20%20% - 30%30% - 40%40% - 50%Above 50%MarketingR&DOffice and RentStaffOutsourcingVehicles Staffing How many staff are employed full time?Head count How many staff are employed part timeHead count Wage costs of top 5 staff membersStaff costing Overall Monthly staff costStaff costing The Capital Raise Amount of Capital you are looking to raiseIn your chosen currency Is this a debt or equity transactionDebtEquityA mix of both EQUITY: How much Equity are you looking to provideEquity allocation10%0100% What will you be using the funds for?more details0 / Expansion (optional) Which countries are you looking to expand into?Optional: List them all if possible0 / Sector What is the value of the project in terms of to the consumer/ market it is being offered into?Market Intelligence Replicate: How easy is it to replicate your project?Market Intelligence0 / Risks What are the biggest risks for an Investor?Risk management0 / Other Risks0 / Other Risks0 / Other Risks0 / About the Business Strategy State why your project should succeed and why it stands out from the crowdAbout the business0 / What gives it the edge over its competitors.more details0 / Helpful Additional Information Company Brochure / Deck / Otheruploadcloud_uploadUpload All Done? - Click here to send the form to our funding team keyboard_arrow_leftPrevious Nextkeyboard_arrow_right UK: +44 (0) 20 7 039 3794 US: +1 (516) 715 1 699Ca: +1 226-499-3600EU: +35 9 895 009 813
