Application for FULL MEMBERSHIP Company name (required) Contact person incl. position (required) Address (required) Telephone (required) Fax E-mail (required) Website Number of investment managers per team Type of fund / type of legal entity Total amount of funds under management: a) Invested/Committed: EURCZKUSDother b) Available: EURCZKUSDother Current portfolio (number / names of companies invested) Preferred investment ranges from EURCZKUSDother Preferred investment ranges up to EURCZKUSDother Type of Funding Sector preferences Geographical focus Brief history of the fund Indicate THREE recommendations from CVCA representatives - name of referee / position / company (required) AGREEMENT OF THE REPRESENTATIVE OF THE CANDIDATE We have read the terms and conditions of membership stated in the Articles of Association approved by the General Meeting on June 21, 2012 and we believe that these terms and conditions have been met. We agree to accept the applicable EVCA Code of Conduct (“Code of Conduct”), which is directly considered to be the CVCA Code of Conduct. We accept the obligation to pay the annual membership fee for the duration of stay in the Association.
