Form Test

Email

⚠ Please provide an accurate email address

First Name

⚠ Please provide a name

Last Name

⚠ Please provide a last name

Country/Region

⚠ Please provide a country

Your Industry (select the closest and most applicable)

⚠ Please choose an industry

Is your businesses' primary product a digital one?

Yes

No

⚠ Please choose yes or no

Your Current Valuation

⚠ Please provide your current valuation

Stake Amount Requested

⚠ Please provide your requested stake amount

Current Monthly Recurring Revenue

⚠ Please provide your current monthly revenue