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seedstage.com investor member application
Thank you for your interest in becoming an Investor Member of seedstage.com. Membership in seedstage.com is your entree to a wide range of pre-screened, early stage high technology investments. Be sure to take the Investor's Tour of seedstage.com before proceeding with your application for membership. Next, complete the form below and we will respond by email to your application within approximately one week. Seedstage.com, its staff, advisors, and affiliates will treat all information as confidential and will not disseminate the information to anyone outside our evaluation team without permission of the investor.
MEMBERSHIP APPLICATION: = required field

Email

  (e.g. mailid@domain.com)- a valid address is required for the next stage of the application process

Salutation

First Name

Last Name

State of Residency

Age

Company (or self employed)

Title/Position

Street address

Street address

City

State

Zip Code

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Phone Number

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Fax Number

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EMPLOYMENT HISTORY
List all companies other than your current employer that you are actively involved with. Also state what position you hold with each one such as board member, controlling shareholder, or advisor.

CORE COMPETENTCIES
List your experience in startup and high tech companies in the past and tell us what role you played.

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If other, please describe:

Person referring (if applicable)?

Who the person works for?

(company name)
I PLAN TO INVEST AS:
  An individual investor
(for this option you must not be a venture or corporate investor)
A venture investor
A corporate investor
ACCREDITED INVESTOR CERTIFICATION
  Rule 501 of Regulation D of the Security and Exchange Commission (SEC) requires that individual investors be "accredited investors." You must have a net worth of at least $1,000,000 and be willing to sign a written document attesting to that fact before becoming a Member Investor in seedstage.com.

I am an "accredited investor"
I am not an "accredited investor"

Venture and corporate investors have a separate membership process.

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