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York Angels Membership Registration Form
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Personal Information
    First Name:*
Last Name:*
Address:*
City/Town:*
Province:*
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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