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Intake form IQ/Capital
Intake form IQCapital
Thank you for considering IQCapital for the funding of your business!
Please keep in mind that InnovationQuarter can only invest in a Dutch BV which is located in Zuid-Holland, when an economic and/or social impact is created in the province of Zuid-Holland and when there is a technologically innovative product. In addition, an IQCapital participation requires involvement from a private co-investor who invests at least 50% of the investment need. 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.
We aim at getting back at every company that submits a complete intake within 3 weeks.
With kind regards, Team IQCapital
First name
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Family name
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The name of your company
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Position within the company
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Company website
*
Fill in the entire URL, starting with http:// or https://
Where is your registered office located (according to the Chamber of Commerce)?
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Street name and house number
City
Zip-code
Country
Afghanistan
Aland-eilanden
Albanië
Algerije
Amerikaans Samoa
Amerikaanse Maagdeneilanden
Andorra
Angola
Anguilla
Antarctica
Antigua en Barbuda
Arabische Republiek Syrië
Argentinië
Armenië
Aruba
Australië
Azerbeidzjan
Bahama's
Bahrein
Bangladesh
Barbados
België
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius en Saba
Bosnië en Herzegovina
Botswana
Bouvet eiland
Brazilië
Brits-Indisch oceaan gebied
Britse Maagdeneilanden
Brunei Darussalam
Bulgarije
Burkina Faso
Burundi
Cambodja
Canada
Centraal-Afrikaanse Republiek
Chili
China
Cocoseilanden
Colombia
Comoren
Congo
Congo, Democratische Republiek
Cook eilanden
Costa Rica
Cuba
Curaçao
Cyprus
Denemarken
Djibouti
Dominica
Dominicaanse Republiek
Duitsland
Ecuador
Egypte
El Salvador
Equatoriaal-Guinea
Eritrea
Estland
Eswatini
Ethiopië
Faeröer
Falkland eilanden
Fiji
Filipijnen
Finland
Frankrijk
Frans Guyana
Frans-Polynesië
Franse zuidelijke gebieden
Gabon
Gambia
Georgië
Ghana
Gibraltar
Grenada
Griekenland
Groenland
Guadeloupe
Guam
Guatemala
Guernsey
Guinee
Guinee-Bissau
Guyana
Haïti
Heard Eiland en McDonald Eilanden
Honduras
Hong Kong
Hongarije
IJsland
Ierland
India
Indonesië
Irak
Iran
Israël
Italië
Ivoorkust
Jamaica
Japan
Jersey
Jordanië
Kaaimaneilanden
Kaapverdië
Kameroen
Kazachstan
Kenia
Kersteiland
Kirgizië
Kiribati
Kleine eilanden van de Verenigde Staten
Koeweit
Korea, Democratische Volksrepubliek
Korea, Republiek van
Kroatië
Lao Democratische Volksrepubliek
Lesotho
Letland
Libanon
Liberia
Libië
Liechtenstein
Litouwen
Luxemburg
Macau
Madagaskar
Malawi
Maldiven
Maleisië
Mali
Malta
Man
Marokko
Marshalleilanden
Martinique
Mauritanië
Mauritius
Mayotte
Mexico
Micronesia
Moldavië
Monaco
Mongolië
Montenegro
Montserrat
Mozambique
Myanmar
Namibië
Nauru
Nederland
Nepal
Nicaragua
Nieuw-Caledonië
Nieuw-Zeeland
Niger
Nigeria
Niue
Noord-Macedonië
Noordelijke Marianen
Noorwegen
Norfolk eiland
Oeganda
Oekraïne
Oezbekistan
Oman
Oostenrijk
Pakistan
Palau
Palestina, Staat
Panama
Papoea-Nieuw-Guinea
Paraguay
Peru
Pitcairn
Polen
Portugal
Puerto Rico
Qatar
Roemenië
Russische Federatie
Rwanda
Réunion
Saint Barthélemy
Saint Kitts en Nevis
Saint Lucia
Saint Pierre en Miquelon
Saint Vincent en de Grenadines
Salomonseilanden
Samoa
San Marino
Sao Tomé en Principe
Saoedi-Arabië
Senegal
Servië
Seychellen
Sierra Leone
Singapore
Sint Maarten
Sint Maarten
Sint-Helena, Hemelvaart en Tristan da Cunha
Slovenië
Slowakije
Soedan
Somalië
Spanje
Spitsbergen en Jan Mayen
Sri Lanka
Suriname
Tadzjikistan
Taiwan
Tanzania, de Verenigde Republiek van
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad en Tobago
Tsjaad
Tsjechië
Tunesië
Turkije
Turkmenistan
Turks- en Caicoseilanden
Tuvalu
Uruguay
Vanuatu
Vaticaanstad
Venezuela
Verenigd Koninkrijk
Verenigde Arabische Emiraten
Verenigde Staten
Vietnam
Wallis en Futuna
Westelijke Sahara
Wit-Rusland
Yemen
Zambia
Zimbabwe
Zuid Soedan
Zuid-Afrika
Zuid-Georgië en de Zuidelijke Sandwich eilanden
Zweden
Zwitserland
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)?
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Yes
No, but we are planning to move (a substantial part of) our business there
No
Please keep in mind that InnovationQuarter can only invest in a Dutch BV which is located in Zuid-Holland and economic and/or social impact is created in the province of Zuid-Holland. Please specify which operations and/or activities of your company are present in Zuid-Holland and why you think that InnovationQuarter is a match for your company.
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
Hidden
More about your company
Please describe the regional added value (max 300 characters)*
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(e.g. FTE, local partnerships, etc.) and social and/or environmental impact of the company.
In which sector(s) do you operate?
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Sustainable energy
Circular economy
High-Tech
Digital Technology
Aerospace
Horticulture
Maritime & Port
Life Sciences & Health
Cybersecurity
Value proposition: please specify what product or service you are offering and what value you therefore provide to your target market
*
InnovationQuarter invests in technologically innovative and scalable companies. Please describe within the limit of 500 characters the value proposition of your company, or which problem your innovation solves for customers.
How much funding (EUR) are you looking for?
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What is your timeline to raise funding?
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0-3 months
3-6 months
6-12 months
>12 months
Is there an investment consortium in place?
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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?
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Yes
No
With whom have you had contact before?
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How do you know InnovationQuarter?
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. Please review our Privacy Policy for more information and check the box to accept 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
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