London Business Angels Guest Registration Form Thank you for your interest in LBA. Please fill out this form and return by email to [email protected], or by post to London Business Angels, 100 Pall Mall, London SW1Y 5NQ. Title First Name(s) Last Name Address Town Postcode Email Telephone Number Current Business Role Source of referral Are you interested in joining LBA as an Investor Member? 1 Sectors of investment interest *Please check one or more Double click on box and select ‘checked’ 2 Funds available per investment London Business Angels is Sponsored by: Advertising Food and Drink services Pharmaceuticals Aerospace/Defence FMCG (consumer goods) Publishing Automobile/Transport Internet Retail Biotech Leisure/Entertainment Software Cleantech Manufacturing Consumer Technology Creative Industries Media Other (please specify) Electronics Medtech Energy Mobile Apps/Content £10k £26-£50k £100-£250k £11-£25k £51-£100k £250k + Supported by: 3 Investment history Not made an investment before small number of investments made experienced investor 4 Expectation of number of 1 2 3 or more 5 Would you be interested in Yes No 6 Do you feel that you have the skills Yes No investments per year attending angel investing workshops for new investors? and investment capacity to act as a lead angel in a syndicate? Important Information London Business Angels Limited (LBA) provides an information service to exchange data between firms and potential investors. It does not advise on the merits or risks of investment and is not authorised to arrange transactions or circulate offering documents under the FSMA 2000 but rather is an exempt body under Statutory Instrument 723 of 1988 as a non-profit making organisation. Investment, whether in new or existing businesses, carries high risks as well as the possibility of high rewards. It is consequently very speculative and potential investors should be aware that no established market exists for the trading of shares in private companies and such investments are not readily releasable. It must be appreciated that there could be difficulty in selling such investments at a reasonable price and in some circumstances it may be difficult to sell them at any price. Similarly, there are risks of non-repayment in the case of an investment made by way of loan or guarantee of a loan. Accordingly, you should consider carefully whether such investments are suitable in the light of your circumstances and commitments and the financial resources available to you. Before investing in a project about which information is provided by LBA, potential investors are strongly advised to take advice from a person authorised under the Financial Services Act 1986 who specialises in advising on investments of this nature. Whilst the persons responsible for issuing the details contained in LBA information will take reasonable steps to ensure that the information it contains concerning proposals requiring capital is neither inaccurate nor misleading, they are reliant upon the information provided by the firms concerned and no independent verification or investigation is carried out by LBA, because of the number of applications handled and in the context of the resources available. Accordingly, no responsibility can be accepted by LBA, for any damage or loss of whatsoever nature due to negligence, disclosure or non-disclosure or any cause occasioned by an investment in any business registered LBA where the investment arises as a result of information provided under the LBA scheme. The function of LBA is solely to bring together prospective investors with firms and in consequence LBA strongly recommends that all prospective investors make their own legal and other professional enquiries before proceeding with any investment. London Business Angels is Sponsored by: Supported by:
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