Thank you for your interest in funding from Foggy Valley Aotearoa. This form will auto-save in your browser and can be reviewed before you submit it. If a question does not apply to your company, please leave it blank.

Company Information
Add the internet address of a Dropbox folder, Google Drive folder or similar cloud-based storage of company files, such as the Pitch Deck, Investment Memo, Executive Summary, Financial Projections, and/or Business Plan.
Company Stage
Please tell us why you are the team to solve this problem right now.
Enter a brief summary of the company's business here.
What is your target market? What is the pain point of the target market that you are addressing? How large do you estimate it to be?
Describe any customer or external market traction that you have achieved to date. This does not need to be limited to revenue and can include signals such as waitlist sign-ups, pilots, or partnerships.
Date Founded
Please enter the founders' total ownership in the company as a percentage. If there are multiple founders, include all of their combined ownership.
Please enter the total percentage of the company owned by female founders. If there is more than one female founder, include their combined ownership.
Details on the legal structure of the company, including where and how the company is set-up, and/or where the IP held, etc.
Financials
Please feel free to add any commentary or details about the information provided above.
Financing Information
How much has been committed to this round and by what investors? What is the minimum raise amount?
Who is the lead investor for this round, and how much money are they committing?
Total amount of capital raised by the company including previous funding rounds.
Target Closing Date
Demographics of Team & Contact Information
Please provide the information of the founder to be contacted.
Contact founder position/ role.
Please provide the contact founder's phone number and preferred phone communication if overseas (WhatsApp, Signal, etc.)
Ethnicity of the female founder.
Location