EBAN Membership Application Form

EBAN is the pan-European representative for the early stage investor community gathering over 100 member organizations in more than 50 countries today.
Please fill out the form below to apply to become an EBAN member.
Please note that EBAN is not a direct investor in entrepreneurial companies. The application for membership should not be used by companies looking for funding.

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* 1. Name of the organisation:

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* 2. Website:

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* 3. Country:

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* 4. Choose the membership category you would like to apply for:

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* 5. Tell us about your organization/activities:

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* 6. Why are you interested in joining EBAN

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* 7. Contact person:

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* 8. Contact person email:

Email address:

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* 9. How did you hear about EBAN?

Invited by EBAN

EBAN website/social media

Referred by a current EBAN member. Please specify below

Other (please specify below)

EBAN Membership Application Form

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* 1. Name of the organisation:

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* 2. Website:

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* 3. Country:

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* 4. Choose the membership category you would like to apply for:

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* 5. Tell us about your organization/activities:

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* 6. Why are you interested in joining EBAN

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* 7. Contact person:

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* 8. Contact person email:

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* 9. How did you hear about EBAN?

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* 10. Specify here if you answered "other"