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First Name
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Investment Preference
Which industries do you invest in or have an interest investing in?
Agriculture
Forestry
Fruits and Vegetables Crop Produce
Farm Land
Agriculture Technology and Services Providers
Commercial and Professional Services
Consumer
Retail
Household and Personal Products
Food and Staples Retailing
Electronics & Peripherals
Consumer Durables and Apparel
Health and Wellness
Food & Beverage
Consumer Services
Education
Energy
Biofuels
Coal, CSG & UCG
Energy Storage
Geothermal
Oil & Gas - Refining & Marketing
Oil & Gas - Storage & Transportation
Oil & Gas - Exploration & Production
Oil & Gas - Engineering & Technology
Hydro and wave
Power utility
Solar
Wind
Industrials
Transportation and Logistics
Capital Goods
Building Products
Construction and Engineering
Trading Companies and Distributors
Industrial Machinery
Manufacturing
Supplier To The Food And Beverage Industry
Electrical Equipment
Automobiles and Components
Specialty Chemicals
Specialty Metals
Materials
Containers and Packaging
Materials Science and Engineering
Construction Materials
Paper and Forest Products
Media
Publishing
Metals & Mining
Alumina
Cobalt
Graphite
Scandium
Molybdenum
Nickel
Manganese
Lithium
Iron Ore
Phosphate
Platinum Group Metals (Platinum, Palladium, Rhodium)
Titanium
Tungsten
Silver
Rare Earth Elements (REE)
Potash
Gold
Early Stage Metals & Minerals Exploration
Copper
Diamonds
Coal
Bauxite
Aluminum
Uranium
Vanadium
Zinc
Other
Hospitality, Leisure & Entertainment
Healthcare & Life Sciences
Biotechnology
Dentistry
Diagnostics
Drug Delivery
Healthcare IT
Medical Devices
Medical Software
Medical Imaging
Drug Delivery
Orthopedic Implants
Pharmaceutical
Products And Services for Healthcare Facilities
Real Estate
Technology, Software and Web
Application Software
E-commerce
Electronic Equipment and Technology Solutions
Enterprise Software
Information Communication and Technology
IT Services
Mobile
Nanotechnology
Networks and Communications Infrastructure / Cloud
Optronics
Payments
Security
Semiconductors
Social Media
Software
Software as a Service
Technology Hardware and Equipment
Testing and Measurement Solutions
UAV / Drone
Financial Services
Sell-Side
Buy-Side
Aerospace & Defense
Telecommunications
Telecommunication Hardware and Equipment
Telecommunication Infrastructure
Telecommunication Services
Utilities
Which of the following types of organizations are you interested in investing in?
Private
Start Up
Venture Capital
Middle Market
Family
Public
Micro Capitalization
Mid Capitalization
Small Capitalization
Large Capitalization
Nonprofit
What type of investment transactions do you typically partake in?
Buying or selling securities on market
Block Trades
Seed / Angel
Venture Capital (Series A, B, C...)
IPO
PIPES
Growth Capital
Convertible Notes
Senior Lending
Bridge Lending
Mezzanine Lending
Royalty
Industry consolidation / M&A
Recapitalization
Buyout
Distress / Restructuring
Which markets do you usually invest in?
Developed
Emerging
Frontier
Which of the following Regions do you usually invest in?
Asia
Central America & Caribbean
Eastern Europe & Russia
European Union
Latin America
Middle East
North America
Oceania
What is the typical US$ size range of one of your investments?
From
in US$ million, from
to
to
What is the typical Revenue range in US$ of companies you invest in?
From
in US$ million, from
to
to
What is the typical EBITDA range in US$ of companies you invest in?
From
in US$ million, from
to
to
What is the typical Enterprise Value range in US$ of companies you invest in?
From
in US$ million, from
to
to
What is the typical US$ size range of one of your investments?
From
in US$ million
AND
to
What is the typical Revenue range in US$ of companies you invest in?
From
in $ million
AND
to
What is the typical EBITDA range in US$ of companies you invest in?
From
in $ million
AND
to
What is the typical Enterprise Value range in US$ of companies you invest in?
From
in $ million
AND
to
Which of the following stock exchanges do you invest in or would you consider investing in?
AktieTorget
Australian Securities Exchange
Bolsa de Madrid
Bolsa de Valores de Lima
Bolsa Mexicana de Valores
Borsa Italiana
Canadian National Stock Exchange
Dbg Frankfurt Stock Exchange
Johannesburg Stock Exchange
Korea Exchange
London Stock Exchange
London Stock Exchange Alternative Investment Market (AIM)
NASDAQ
NASDAQ OMX First North
NASDAQ OMX Nordic Main Market
National Stock Exchange (Australia)
New York Stock Exchange
NYSE Alternext
NYSE American
NYSE Euronext Amsterdam
NYSE Euronext Brussels
NYSE Euronext Lisbon
NYSE Euronext Paris
NYSE Euronext Paris (Marché Libre)
Oslo Bors
Private
Tel Aviv Stock Exchange
Toronto Stock Exchange
TSX Ventures Exchange
U.S. Over The Counter
U.S. Over The Counter - QX
Last Name
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia And Herzegowina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman
Cayman Islands
Central African Republic
Chad
Channel Islands
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic Of Congo
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
England
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-bissau
Guyana
Haiti
Heard And Mc Donald Islands
Holland
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic Of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic Of
Korea, Republic Of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia, The Former Yugoslav Republic Of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States Of
Moldova, Republic Of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
People's Republic of China
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Kitts And Nevis
Saint Lucia
Saint Vincent And The Grenadines
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovakia (Slovak Republic)
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia And The South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Pierre And Miquelon
Sudan
Suriname
Svalbard And Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic Of
Thailand
Togo
Tokelau
Tonga
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis And Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zambia
Zimbabwe
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Which of the following categories best fits your profile?
Accredited Individual Investor
Business Services
Consulting
Investor Relations
Family office
Financial Services
Buy-Side
Analyst
Investor Relations
Portfolio Manager
Registered Investment Advisor
Trader
Sell-Side
Analyst
Institutional Sales
Investment Banking
Trader
Wealth Management / Financial Advisor / Stockbroker
Individual Investor
Management of a Private Company
Management of a Public Company
Media
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Interactive Television
Journalist
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Television
Research Analyst
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