ampli Toolkit Form

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01. Identification

Role ampli nature

Enterprise name *

Québec Enterprise Number (NEQ) *

First name *

Last name *

Email address *

Phone number *

Role within the enterprise

Region

Has your organization previously organized a bond or share campaign?

At what stage are you in terms of organizing a campaign?

What is the nature of the project you would like to finance with community capital financing? (2 sentences MAX)

As part of developing your campaign, are you currently working with a support organization? *

What is the name of your advisor or support organization?

Would you like to be put in contact with Seenet and/or the social economy office in your region ? *

Would you like to access the ampli Fund? *

How did you hear about l'ampli ?

How did you hear about ampli? (OTHER)

By checking each of the following statements, you confirm that you have read and accepted them.

I have read the Social Economy Act.
My enterprise is a non-profit organization or a cooperative.
My enterprise is aware that, even in possession of this toolbox and with support, it is solely responsible for ensuring compliance with the egal framework surrounding the issuance of bonds and shares.