Investor Registration.

Investors

To register as an investor with Silverstone Investment Network please complete the registration form in full.

You can:

  1. Complete the questions online and then submit the registration form by clicking the “REGISTER” button.

    OR

  2. Print and complete the application form before posting it back to the address given.

PLEASE ENSURE THAT YOU READ THE STATEMENT ON THE FINANCIAL SERVICES AND MARKETS ACT 2000 AND COMPLETE THE DECLARATION OTHERWISE YOUR APPLICATION CANNOT BE ACCEPTED.

Registration Form

Contact Details
Name: Position: Company/Organisation: Address: Phone: Fax: Mobile: E-mail: Website:
Investor Details
Please indicate your current affiliation:
Private Investor Venture Capital Company Venture Capital Trust Corporate Investor
Amount available for investment:
Indicate the amount you would consider investing in any one company. £10,000 - £25,000 £25,000 - £50,000 £50,000 - £100,000 over £100,000
Amount available for investment per year:
Indicate the total amount you are seeking to invest per year. £25,000 - £50,000 £50,000 - £100,000 over £100,000  
Collaboration with other investors:
Indicate whether you are willing to invest alongside other investors (apart from co-investors you may organise yourself) in the same company. Yes No  
Experience as a private investor:
Indicate whether you have previously invested in companies as a business angel. Yes No How many?
Opportunities of interest
Describe types of opportunity and business or market sectors which would be of particular interest to you. Tick all that apply. Technology - all areas Motorsport Nanotechnology Electronics ICT Medical devices Engineering/Materials Diagnostics Biosciences Environmental
Other - please specify:
Interaction with companies in which you invest
Indicate areas of experience which you would be able to contribute to investees. Tick all that apply.   General Management Sales/Marketing   Finance Technical
Indicate the type of management involvement you would like with a company in which you invest. Tick all that apply.   Non-executive Part time executive   Full time executive No direct involvement
Financial Reference
Please give the name and address of a person who can confirm that you have the amount you have specified available for investment.

Note that the reference you give will be taken up by the Network.
How did you hear about Silverstone Investment Network?

I understand that the information I have provided will be stored on a database and will be used by The Silverstone Investment Network to ensure that appropriate companies seeking investment can be brought to my attention.

I confirm that I have read and understand the notice relating to the Financial Services and Markets Act 2000 ("FSMA").

Signed: Date:
Under the FSMA 2000 Investors are required to hold a relevant certificate, indicating they are a High Net Worth Individual or Sophisticated Investor. Investors can now self certify.

Select as appropriate:

 I confirm that I already hold an appropriate certificate Please send me the self certification form