Business Angel Application Form -Europia Capital

Business Angel Application Form

Thank you very much for your interest in joining EUROPIA CAPITAL. In order to process your application and add you to The Directory, we would like you to tell us about yourself. The Directory enables members to find complementary expertise to help develop their projects and is exclusively accessible by current EUROPIA CAPITAL members. All information communicated in this questionnaire will be treated confidentially and will not be shared outside The EUROPIA CAPITAL association. The EuropIa association conforms to the EU General Data Protection Regulation (GDPR).

First name

Last name

Address

Mobile tel

Alt tel

E-mail

Main IM

Alt IM

Fields of Expertise

Current Activity

Company

Industry Sector

Main business of the company

Role in the company

The main functions/ services you perform for this company

Educational Highlights

Professional Highlights

Main Investments/ Activities Illustrating your Expertise

Your Interest in The EuropIa Capital

What is your motivation for joining the EuropIa Capital association?

Company or Industry Sector Interest

Which industry sectors are you interested in?

Expected Investment per Company

Minimum (€)

Maximum (€)

Expected investments with EUROPIA CAPITAL in Avg/Yr (€):

I confirm that I wish the Board of the Europia Capital to consider my application to join the association and furthermore that I have both the capacity and the intention to invest a minimum of €25,000 during the first 18 months of my membership.

I accept the terms and conditions (https://www.europiacapital.eu/mentions-l%C3%A9gales)

Your signature

PRIVATE & CONFIDENTIAL : https://www.europiacapital.eu/mentions-l%C3%A9gales

EUROPIA CAPITAL

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