a) What type of organization are you? *

b) Why do you want to sponsor a MIC? *

c) Which Canadian province is your company? *

d) What name do you want to call your MIC? *

Full Name *

Address *

Email *

Phone *

e) How many people do you have in your team to sponsor the MIC? *

f) How do you plan to raise capital for your MIC? *

g) How many members / clients do you have in your group? *

h) What will be the minimum capital investment per investor? *

i) How much capital (CA$) can you raise for your MIC? *

j) How much capital do you have for the setup of your MIC? *

k) When do you want to start your MIC? *

Referrer's Name

Referrer's Email