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* 1. Contact information

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* 2. Company description (one-liner)

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* 3. Company turnover

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* 4. Company geographical presence

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* 5. Why do you want a mentor in the UK?

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* 6. What do you hope to get out of the programme?

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* 7. Have you raised capital or are you looking to raise capital? If so, what type of investor?

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* 8. Are you part of any of the following organisations?

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* 9. Please state name and title of participants from your company, if enroled (price includes up to two participants).

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