Business Information Form

Date:
Company:
Contact:
Address:
City:
Province:
Postal Code:
Telephone:
Fax:
E-mail:
URL address:
Are you an OCRI member?	Yes No
Who else have you contacted?	OCE IAF MaRS IRAP Capital Angel Network   Other:
Referree:	Insert here if you were referred by a third party.
Incorporation:	Insert here the date and location of incorporation.
Employees:	Insert here number of employees.
Industry Sector:	Life Sciences Cleantech/Environmental Technologies Information & Communication Technologies (ICT) Energy Materials and Advanced Manufacturing Agriculture Other (Specify)
Business Description:	Maximum: 150 words – describe what you do & how you make money or expect to make money.
Products:	Maximum: 150 words – describe your product(s), & identify what unique problems or needs your products will address.
Market:	Maximum 150 words – describe the market you are in, who your competitors are, the size of the market and your estimated share of it.
Product Status:	Concept Proof of Concept Shipping
Do you have a business plan?	Yes No

BUSINESS OBJECTIVES:
Insert expected major milestones over the next 3 years
Year	Milestones
1
2
3

***DISCLAIMER*** 

You expressly consent to OCRI including personal information collected from you in its files and to the disclosure of your company information to OCRI Parties in order to provide you with the Service or Advice you have requested. The use of your personal information by the OCRI Parties shall be limited to that which is reasonably necessary to provide you with the Service or Advice or to provide you with related information that the OCRI Parties believe may be of interest to you. In addition, the OCRI Parties may collect, use or disclose your personal information for any reasonable purpose for which consent is not required under applicable privacy laws.

Your company information will be kept confidential within the OCRI client management system in accordance with applicable privacy laws. If you have any questions about the use of your personal information by the OCRI Parties, or wish to access or correct your company information, please contact us by email at invest@ocri.com.

Your Business Information Form submission signifies your consent to this disclaimer.