York Angels Membership Registration


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Personal Information

	First Name:*
	Last Name:*
	Address:*
	City/Town:*
	Province:*	Province/Territory Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
	Postal Code:*
	Email Address:*
	Phone Number:*
	Website:

Membership Type

What kind of investment opportunities and in what particular sectors are you most interested? Corporate Associate Individual

Investment Preference

Ideally, what amount would you be interested in investing on an annual basis? $0 - $25,000 $25,000 - $50,000 $50,000 - $75,000 $75,000 - $100,000 Greater than $100,000

Company Stages

	What stage of companies are you interested in seeing? Pre-revenue, pre-product Pre-revenue, post-product Post-revenue, post-product
	Is there a minimum sales threshold you need to see before considering an investment? Yes No
	If so, what is that threshold? $100,000 $250,000 $500,000 $1,000,000
	Are you interested in investing in companies where your ROI would come from annual dividend payouts rather than a formal exit? Yes No

Participation

	How involved would you typically like to be in a company that you invest in? Passive investor Advisor Board member Consultant Employee
	How long would you typically be interested in maintaining such a role? 0 - 6 months 6 - 12 months 1 -3 years Greater than 3 years

Membership

	Would you like your involvement with York Angels kept Private Public (eg: news stories about members, York Angels, etc.)
	What kind of deals and in what sectors are you interested in seeing? AND Do you have any comments or suggestions for the benefit of the group?

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