Corporate Investor Registration Form
Company Name:
Country of Incorporation:
HQ Address
:
City:
Zip Code:
Country:
Local Address
:
City:
Zip Code:
Country:
Firm URL:
Contact Information
First Name:
Last Name:
Position Held:
E-Mail:
Mailing Address
:
HQ Address
Local Address
City:
Zip Code:
Country:
Daytime Phone Number:
Evening Phone Number:
Fax Number:
Corporate Information
Company Description: (your company description will be included in your profile)
Tax Payer ID:
Annual Revenue:
Investing Capital Available:
Are you a Public Entity ?
Yes
No
If '
Yes
', which Exchange are you listed on ?
Investing Experience
Has your firm had any experience with the Stock Market ?
Yes
No
Had any experience with Private Placements ?
Yes
No
If '
Yes
', which companies has your firm private placed with ?
How would you like to be notified of new opportunities posted on the ideamint site?
E-Mail
Fax
Mail
Corporate Investor Profile
This is the part of your application that an entrepreneur will have access to once you have expressed interest in the entrepreneur's company. Please do not include any information you wish to keep private
Areas of Interest and Expertise
E-Commerce
Communications, Networking & Internet
Hardware
Software
Information Services
Semiconductors
Medical Sciences
Consumer Products & Services
OTHER
Please describe any other areas of interest :
Is your company actively involved in or has been involved with any company ?
Are you currently or in the past, have you been actively involved in any emerging technology or startup companies (include roles you held as an investor, board member, advisor, consultant, officer or employee):
What is your preferred size of investment in a private company (check one or more)?
Under Rs. 5,00,000 (< $12,500)
Between Rs. 5,00,000 to Rs. 50,00,000 ($12,500 to $125,000)
Rs. 50,00,000 to Rs. 1,00,00,000 ($125,000 to $250,000)
Greater than Rs. 1,00,00,000 (> $250,000)
Any additional information you would like to include in your profile ?
I agree to have read all of ideamint.com's legal notices and requirements and I agree to comply with them.
