Home
Bernadette Doran
Innova Project Manager
Tel:
00 44 (0) 28 3083 4148
Email:
bernadette.doran@intertradeireland.com
InterTradeIreland Innova
Please fill out the following form and click submit.
When you have completed and returned the registration form we will send you a link to upload your Business Plan.
Title:
Select...
Mr
Mrs
Ms
Dr
*
First Name:
*
Last Name:
*
Position:
*
Email Address:
*
Re-enter Email Address:
*
Business Name:
*
Street Address 1:
*
Street Address 2:
City/Town:
*
County:
*
Postcode:
Telephone Number (work):
*
Telephone Number (mobile):
Fax Number:
Website Address:
Date of Startup:
*
No. of Employees:
*
Company Registration Number:
*
Approximate Equity Requirement:
(Your new equity requirement must be at least €75,000/£55,000)
Select...
€ Euro
£ GBP
*
Please indicate currency
*
Please enter numbers only, e.g. 75000
Have you raised private equity to date (e.g. business angel finance, venture capital, BES, EIS)?:
Select...
Yes
No
*
If yes, how much have you raised?:
Please select which region of the island you are based in:
Select...
Dublin (City and County)
Northern Ireland
Munster
Connacht (plus Cavan, Monaghan, Donegal) and Leinster (outside Dublin)
*
For which Category are you applying?:
Select...
Emerging Company
Emerging International Company
*
WHAT ARE THE CATEGORIES?
Is the venture a university spin-out or platform programme?:
Select...
Yes
No
*
If yes, please specify which university or platform programme:
Which sector do you operate in?:
Select...
Construction
Digital media & Web 2.0
Electronics
Environmental
Food
Financial Services
ICT
Leisure and Tourism
Life Science
Medical Devices
Manufacturing and Industrial
Pharmaceutical
Semi-conductor
Software
Telecommunications
Other
*
If Other, please specify:
Where did you hear about the Seedcorn competition?:
Select...
InterTrade Ireland - brochure/e-mail
InterTrade Ireland - direct/personal contact
InterTrade Ireland - website
Professional Advisor
Government Agency
Platform programme or incubation centre
Editorial
Aircoach Advert
Advertisement - newspapers or magazines
Advertisement - Radio
Advertisement - web/on-line
Other
*
If Other, please specify:
If Advertisement or Editorial, which newspaper, publication, or website?: