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What's your full name?

What's your email address?

What is the name of the company looking for funding?

What is your role in the company?

What's the company's website address?

In a few words, what's the company's elevator pitch?

Please supply your Companies House number if you're in the UK.

When was the company founded?

Where is the company based?

Which market does the company operate in?

Which sector does the company operate in?

What is the company’s primary sales market?

What is the current revenue status of the business?

Is the company EIS qualifying?

How much equity does management own? (%)

How much equity funding has the company raised to date? (in GBP)

How much debt funding has the company raised to date? (in GBP)

How much grant funding has the company raised to date? (in GBP)

How much are you looking to raise in this investment round? (in GBP)

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