Business Incubator Financial Champion Registration Form

Please complete the entire registration form giving as much information as possible.

To read more about the benefits and what's involved in becoming a Financial Champion of our Business Incubator Programme, please click here

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* 1. Your Full Details

Full Name

Name of your Company (if relevant)

Your Social Media Profile (please provide a link or say n/a if you don't have one)

Address

City/Town

Post Code

Email Address

Mobile

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* 2. Please say why you are interested in becoming a Financial Champion Supporter for the 100 Business Incubator Programme

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* 3. Have you invested in businesses before? If so, please give some details.

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* 4. Please confirm the amount you wish to donate towards the costs of the Business Incubator Programme

£5,000

£1,000

£500

£250

Other (minimum £250)

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* 5. In return for your initial donation to the costs of the 100 Business Incubator Programme, you benefit from a secure invitation to the final Presentation Day of the programme and a first option to invest in any of the businesses involved in the Incubator Programme.

The funding these businesses will seek will obviously depend on their needs and pre-money value.

Please confirm that you wish to receive your exclusive invitation and first option to invest in these businesses.

Please send me an invitation

I am NOT interested in investing.

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* 6. Is there anything else you want us to know in support of your application?