Capital Raise Pre-Consultation Assessment

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Name:* This field is required.

First Name

Last Name

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Email:* This field is required.

example@example.com

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Phone number:* This field is required.

Area Code

Phone Number

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Company name:* This field is required.As legally registered

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Country of registration:* This field is required.Where the company is legally registered

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Country of operation:* This field is required.HQ / Could be different from the country of registration

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Date and year of registration:* This field is required.

Date

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Company registration number:* This field is required.

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Registered company address:* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Your role in the company:* This field is required.You can use your title

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Company website:* This field is required.If you do not have a website, enter "None"

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In which industry is your business?* This field is required.

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Who is your target market?* This field is required.Tick all that apply

Business to Consumer (B2C)

Business to Business (B2B)

Business to Government (B2G)

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Does your business offer products only, services only, or both?* This field is required.Select the one that applies

Products only

Both products and services

Services only

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Briefly describe what your business does or specialises in:* This field is required.HINT: your 30-second pitch

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How long has your business been in operation since registration?* This field is required.

Please enter the number only

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Composition of your management / executive team* This field is required.Please tick roles that are filled

Co-founder

Executive team with all key roles filled

Executive team with some key roles not yet filled

Board of Advisors

Board of Directors

Advisors / Consultants

No team

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Who is in your management / executive team?* This field is required.Only titles required

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Size of your entire team:* This field is required.Including senior executives

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How many employees are permanent?* This field is required.Including senior executives

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How many employees are temporary?* This field is required.Including Advisors or Consultants who are compensated

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Gross business revenue in the last 12 months (in USD):* This field is required.Please indicate in USD$. If your company is pre-revenue, please type 'PRE-REVENUE'

If you do not know the exact figures, use estimates

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Projected revenue in the next 12 months (in USD):* This field is required.Please indicate in USD$. If you are not sure, use an estimate based on your growth strategy

If you do not know the exact figures, use estimates

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Are your company accounts up-to-date and audited?* This field is required.

Yes

No

We have been in business for less than 1 year so there are no company accounts

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Does your business have a financial model in place?* This field is required.

YESNO

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Does your business have financial projections for the next 3-5 years?* This field is required.

YESNO

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What is your company's current valuation?* This field is required.If you do not know or have not done a valuation, type "NOT AVAILABLE"

If you do not know the exact figures, use estimates

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How much are you seeking to raise (in USD)?* This field is required.

Enter USD$ equivalent of your currency

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Round of funding you are seeking to raise:* This field is required.PRE-SEED: You have a crisp idea of what you want to build in the next 12 months (plus a prototype) but do not have any meaningful traction or product-market fit. You have identified a market and a pathway to that market. An investor provides you with capital (sometimes up to $2 million) to develop your product in return for equity in the company. Essentially, an investor is taking a massive bet handing over their money to fund your idea. Amounts are typically between $50k - $500k covering between 3 to 9 months of costs. SEED: You have a clear product market-fit, active user metrics and a team to show that you are scaling. You need money to stoke the fire. Perhaps no revenue, or little revenue, has started coming in yet. An investor invests "seed" in exchange for an equity stake or convertible note stake in the company. Amounts are typically between $100k - $2.5M, depending on industry covering between 12 to 18 months of costs. SERIES A: Generally the first or second round of funding for a startup depending on whether there was a seed round or if the business was self-funded. Investors put money into your growing company in exchange for equity, or partial ownership of that company. The raise, often between $2M and $15M, could be intended for 6 months to 2 years worth of capital as the company develops products, performs marketing and branding, hires talent, and undertakes early stage business operations. Some of the factors investors consider when determining valuation of your business, based on the equity you offer, include past sales, growth rate, risk and size of market. SERIES B: Companies that have gone through seed and Series A funding rounds have already developed a strong user base and proven to investors that they are prepared for success on a much larger scale. Series B is used to grow the company so it can expand - flood the market, refine the brand or develop new product lines to capture a wider audience of paying customers. The equity requested may be higher than Series A based on the risk factor. This round of funding is usually provided by private equity investors and venture capitalists. Ticket sizes can range from $6M upwards of $10M. SERIES C: Is for later stage and more established companies with a strong brand presence and customer base preparing to be acquired, go public on the stock market or undergo significant expansion. Investors inject capital into successful businesses in an effort to accelerate growth and receive more than double the investment back. The business plan is proven, risk is lower and typical investors would be private equity firms, hedge funds and investment banks. Rounds are usually $10M+ and are often much larger.

Pre-Seed

Seed

Series A

Series B

Series C

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Type of investment you are seeking:* This field is required.EQUITY Investors are given a stake in your company based on how much they invest at the valuation of your company at the time of investment. DEBT An investor or financial institution lends money to your company or project sponsor with the expectation that you will pay back the investment with interest. CONVERTIBLE NOTE Short-term debt that converts into equity at a later date. The debt automatically converts into shares of preferred stock for early-stage investors when you raise a Series A round of financing. SAFE (Simple Agreement for Future Equity) An agreement between your company and an investor where they invest in exchange for the right to purchase stock in a future equity round subject to set parameters. Similar to convertible note but does not include debt.

Equity

Debt

Convertible Note

SAFE (Simple Agreement for Future Equity)

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% equity available for investment required:If you are seeking equity investment, please enter value like this: 20%

Please note that this does not have to be set is stone and can be negotiated with investors

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Please break down your funding sources to date:* This field is required.Enter values in USD everywhere it applies E.g. $1M

Own Investment (Consider the value of things like equipment, staff hires, subscriptions, fixtures, consulting etc)

Angel Investment

Venture Capital

Debt (Loan / Trade Finance / Project Finance)

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What will you use the funds raised for?* This field is required.No need to write amounts - just a list of what funds will be allocated towards

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Are other investors already involved in your project?* This field is required.If family or friends have invested in, please tick YES.

YESNO

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Are there external partners involved in project implementation?* This field is required.Include only implementation partners with whom agreements are already in place.

YESNO

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How much of your own investment has gone into the project to date (in USD):* This field is required.This includes things like equipment, staff hires, subscriptions, fixtures, consulting etc

Enter USD equivalent amount

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Do you have an Executive Summary?* This field is required.

YESNO

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Do you have a pitch deck ready?* This field is required.You can share this with us a version that does not contain confidential information,

YESNO

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Please upload your 1-to-2 page executive summary or pitch-deck:If you need an executive summary template, please feel free to download ours: https://www.radicalleap.com/wp-content/uploads/2022/10/TRLG-Executive-Summary-Template.docx

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

COPY & PASTE THE ABOVE IN YOUR BROWSER

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Do you have a business plan ready?* This field is required.

YESNO

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Other investors already involved in your project?* This field is required.

Yes

No

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Do you have a business plan ready?* This field is required.

Yes

No

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Do you have a pitch deck ready:* This field is required.

Yes

No

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What is the problem you have seen in the market that you are solving?* This field is required.Keep it short and concise

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A short description of how your project solves the problem above:* This field is required.Keep it short and concise

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Who is your target market, and how do they benefit from your solution?* This field is required.Keep it short and concise

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Who is your current competition, and how do you differ from them?* This field is required.Keep it short and concise

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Traction - What have you achieved so far with the budget you have?* This field is required.E.g. number clients, volume of sales, number of downloads, patents, trademarks, MVP, partnerships, awards, etc.

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Impact of solution:* This field is required.Local, national and/or global. Social, economic, and/or environmental

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By completing and submitting this form, you acknowledge your awareness of and agreement to a non-refundable retainer fee (starting from $10,000) and a capital-raise success fee of between 0.05% to 5% depending on the amount raised:* This field is required.An agreement will be shared for signing. Please note that you are not obligated to use our capital-raise service. You can connect directly with other investors in your own network and are not required to pay our success fee should this be the case.

I am aware and in agreement

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Schedule Your Consultation Here:* This field is required.

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Please verify that you are human and click 'SUBMIT'* This field is required.