Intake form IQ/Capital

First name*

Family name*

The name of your company*

Position within the company*

Company website*

Fill in the entire URL, starting with http:// or https://

Where is your registered office located (according to the Chamber of Commerce)?*

Street name and house number City Zip-code Country

Are most of your business operations and/or activities located in the Dutch province of Zuid-Holland (also known as the greater Rotterdam - The Hague area)?*

Yes
No, but we are planning to move (a substantial part of) our business there
No

Why not?*

Please specify which operations and/or activities of your company are present in Zuid-Holland

Please note

As the Regional Economic Development Agency (ROM) for the province of Zuid-Holland, InnovationQuarter invests in companies that create economic, social and/or environmental impact within this province. If your company primarily contributes to a different Dutch region, please find your local ROM at ROM-Nederland.nl

More about your company

Please describe the regional added value (max 150 characters)*

(e.g. FTE, local partnerships, etc.) and social and/or environmental impact of the company.

In which sector do you operate*

Value proposition*

InnovationQuarter invests in technologically innovative and scalable companies. Please describe within the limit of 150 characters the value proposition of your company, or which problem your innovation solves for customers.

How much funding (EUR) are you looking for?*

What is your timeline to raise funding?*

Is there an investment consortium in place?*

Yes, we have initial commitments from a (lead) investor
No, but initial talks with potential (lead) investor(s) have taken place
Not yet

What is the name of this potential (lead) investor?

Have you previously had contact with someone at InnovationQuarter?*

Yes
No

With whom have you had contact before?*

How can we reach you?

What is your e-mail address*

What is your phone number?*

What is your personal LinkedIn URL*

Fill in entire URL, including https:// https://www.linkedin.com/in/yourname

We care about your privacy. Check the box to comply with our privacy policy*

InnovationQuarters' privacy policy (read here)

Almost ready to go!

After submitting your intake form, you will receive a confirmation e-mail containing a link to a secured location where you can upload your pitch deck. Please make the review of your investment request easier by adding the name of your company to the PDF file

Please take your time to submit our intake form thoroughly and completely, including your pitch-deck in PDF. This allows our team to give your innovation and your company the attention it deserves and not spend their valuable time searching for remaining answers.

We aim at getting back at every company that submits a complete intake within 3 weeks.

With kind regards,
Team IQCapital