Investment Application Form

Before completing this investment request...

Please see the web site for full details in regard to our investment criteria and investment process.

A review of our existing portfolio should give you an overview of the type and stage of company that we typically invest in. If you believe you meet the investment criteria, please
download the application form HERE .

We are looking for concise answers to the requested information. Once completed, you may submit the completed online form to the Mercia Technology Seed Fund by, please send it by email to mail@merciafund.co.uk. We endeavour to treat all information received as confidential but we reserve the right to consult our team of associates for the purpose of evaluation. Please read the Privacy Disclaimer at the bottom of the form before submitting.

Please complete every field. If you cannot fill a field please type N/A (Not Applicable) or N/K (Not Known)