Ag Ventures application

Email

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Title

First name*

Last name*

Email address*

Address (business address preferred)*

Address (line 2)

City/Town*

State*

Postal code*

Country*

Country of citizenship*

Mobile phone number*

Business phone number (optional)

Select an age range*

What gender do you identify as?*

Name of your organisation*

What type of organisation is it?*

What is your industry?*

What is your position/role title?*

What are your primary responsibilities within your organisation?*

What type of investor are you?*

What are your present areas of investment interest?*

Please share a few details of your previous investment activity, if any.*

What is your projected venture capital investment budget for the next 2 years?*

Why are you interested in this program and what goals do you hope to achieve?*

What particular strengths will you bring to Ag Ventures?*

Payment information will be sent to successful participants at the email address provided on this application. Is the invoice address different to the postal address provided?*

Address is the same

Address is different

Invoice contact name*

Position title*

Organisation*

Email address*

Billing address (if known)

Billing address (if known) – Address

Billing address (if known) – City

Billing address (if known) – State

Billing address (if known) – Postcode

Billing address (if known) – Country

How did you find out about Ag Ventures?*

Referred by:*

Is there anything else you would like us to know about you or your application? (optional)

Ag Ventures disclaimer*

The information and advice provided during the Ag Ventures program are for general informational and education purposes only and should not be construed as financial advice. The opinions expressed by guest speakers are their own and do not necessarily reflect the views or opinions of the Ag Ventures program, its organisers, or affiliated entities. Investing in financial markets involves risks, and individuals should carefully consider their financial situation and consult with a qualified financial advisor before making any investment decisions. The Ag Ventures program does not guarantee the accuracy, completeness, or suitability of the information provided during its sessions. Participants in the Ag Ventures program are encouraged to conduct their own research and seek independent financial advice tailored to their specific circumstances before making any investment decisions. The Ag Ventures program and its organisers disclaim any responsibility for actions taken based on the information and advice provided during the program. It is important to note that the financial landscape is subject to change, and past performance is not indicative of future results. The Ag Ventures program is an educational platform, and participants should exercise caution and due diligence when applying any insights or recommendations discussed during the program. By participating in the Ag Ventures program, attendees acknowledge and agree that the information and advice provided are not a substitute for professional financial advice, and they should seek guidance from qualified professionals for their specific financial needs and goals. Prepared: January 2025

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