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Annual Membership Fee

Full Member
1-9 employees	CHF 1'600.-
10 and more employees	CHF 2'200.-

Associate Member
1-9 employees	CHF 1'000.-
10 and more employees	CHF 1'600.-

Individual Member
CHF 500.-

Young Professional
CHF 120.-

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Membership Application

Please carefully fill out this form, it will be used for your entry into
the internet-database and the SECA Membership-Directory
(* = compulsory).

Choosen Member Status

The annual membership fee can be found on the left side

Which Status

General information

Name (company, individual)*:

Company logo:

Street, No.:

PO Box:

Postal Code, City*:

Country*:

Telephone*:

Telefax:

Homepage URL:

E-Mail for general enquiries:

1st Contact

Sex

MaleFemale

Title

First name*:

Name*:

Function:

E-Mail*:

Date of birth:	Date and time
Years of professional experience (in the field of PE, VC and CF):

2nd Contact
Sex	MaleFemale
Title
First Name:
Last Name:
Function:
E-Mail:

3rd Contact
Sex	MaleFemale
Title
First Name:
Last Name:
Function:
E-Mail:

4th Contact
Sex	MaleFemale
Title
First Name:
Last Name:
Function:
E-Mail:

5th Contact
Sex	MaleFemale
Title
First Name:
Last Name:
Function:
E-Mail:

Type of Firm (Please choose one)
Type of Firm:

Investment Stages
Investment Stages:	(Press "ctrl" to make multiple choice)

Industrial Sectors
Industrial Sectors:	(Press "ctrl" to make multiple choice)

Geographical Focus
Geographical Focus:	(Press "ctrl" to make multiple choice)

Type of Financing
Type of Fincancing:	(Press "ctrl" to make multiple choice)

Company's profile
Short Company profile:
Number of employees in Switzerland:
Capital under Management:
Fund Names:
Number of Portfolio Companies:
Examples of Portfolio Companies:
Year of Establishment:
Size of Investment:
Funds available to invest:

Minimum investment considered:		Maximum investment considered:
Minimum equity stake:		Maximum equity stake:

Average equity stake:
Timescale for investments:
Source of funds:
Preferred exit route:

Information

All Information will be used for your entry into the internet-database which is public. (www.seca.ch / Membership / Members)
SECA provides direct links to your homepage i.e. e-mail address.
Your application will be subject to approval by the Executive Committee.
Company Logo will be used
I have read the code of conduct for SECA Members.

Yes, I confirm:

With sending this form you have read and understood the membership criteria of SECA and you're aware of the annual fees.

Send application

Full Members

Contact

Swiss Private Equity & Corporate Finance Association
SECA
Grafenauweg 10
Postfach 4332
6304 Zug
Switzerland

Phone: +41 41 724 65 75

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