Application for ASSOCIATE MEMBERSHIP

Company name (required)

Contact person incl. position (required)

Address (required)

Telephone (required)

Fax

E-mail (required)

Website

Services provided

PE / VC services

Additional services

Geographical focus

Number of years on the market

Total number of employees

Which regular CVCA members have you worked with or represented them (please list):

Number of employees specializing in PE / VC

Company profile

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.