elysiuminvest

ELYSIUM CrowdSAFE Application

We are humbled by your interest to invest and participate in Elysium's clean energy revolution. As a result, we have decided to open access in the coming weeks for smaller investments from our early supporters. This will precede Elysium's full Series A round starting at the end of 2022.
*Upon approval as a potential contributor, you will receive instructions on how to access more information on Elysium's progress, technology, and financial roadmap.

None of the responses below constitute a binding agreement or an obligation to invest. This questionnaire serves as an investor eligibility application to determine priority access to Elysium's highlights and future plans.

All responses are confidential, solely reviewed by Elysium personnel, and will not be circulated to any third party affiliate or provider. We respect your privacy, which is why all responses are not mandatory. Nonetheless, response completion will be an assessment criteria.
Who will be contributing? *
Company Name and Governing State/Country (if applicable)
ex: Elysium Industries, New York, USA
Full Name*

First Name Middle Name Last Name
Birth Date*

Month Day Year
Country of Residence*
Nationality*
Second Nationality (if applicable)
Email Address*
example@example.com
Phone Number*

Country Code Area Code Phone Number
LinkedIn (if applicable)
Company Name & Website (if applicable)
ex: Elysium Industries, www.elysiumindustries.com
How did you hear about us*
What is your desired $USD-equivalent contribution?*
Note: This disclosure is not binding
How else would you like to contribute? (If not, please enter N/A)*
ex: Engineering, Marketing, Social Advocacy
Are you currently involved in any nuclear energy-related work/projects?*
Have you already invested in other crowdfunding campaigns? If yes and willing to disclose, which type of companies?*
Should be Empty:

ELYSIUM CrowdSAFE Application