Membership Application ⇽ FinTech Lab

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Tell us a little bit about yourself.

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What is your date of birth? *

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Now lets talk about your business.

Please enter a summarise your innovation or idea

Summarise your innovation or idea *

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What is the current stage of your business? *:

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Number of employees *

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How many people do you work with indirectly? *

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Who are your target customers?

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How much capital have you raised?

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How is your organisation funded?

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How long have you been in operation?

What traction have you had?

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Now lets talk about your needs and how we might work together.

What services at The Innovation Village are you most interested in? *:

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How will you give back to our community of entrepreneurs?

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Please enter a what kind of support do you require from the village?

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