Application Form (PDF)




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THE PANAMA FUND
BITCOIN VENTURE CAPITAL FUND
VC Made Intuitive, Friendly & Straight forward

APPLICATION

BITCOIN VENTURE CAPITAL FUND APPLICATION
© 2014 THE PANAMA FUND, S.A

This Application may be subject to revision or amendments at any time without prior notice or consent

1

Prior to completion of this application, please ensure that you have the following details,
information readily available:
(You are not required to have an existing corporate structure in place in order to apply)





Full details of all owners/partners/directors & shareholders;
Company/Business details;
Business Plan Overview – including financials and projections;
A clear understanding of your funding requirement and future strategy.

To apply to the Bitcoin Venture Capital Fund:
1. Register an account with HavelockInvestments.com
2. Complete the short form on the next page, Sign and E-mail a Scanned
PDF to: FUNDS@HavelockInvestments.com
3. Start working on putting together your application information and
submit upon completion









No exuberant fees
Our Analysts will work with you to help and understand your goals and needs
Our platform allows to spread the risks which in turns creates more flexibility
We do not force complicated cumbersome application forms. We rather allow open
format that makes sense for your venture unique structure, business model and
capital needs
We operate like traditional VC funds do with the uniqueness that we are BITCOIN
denominated only.
We accommodate transactions as small as $50,000 equivalent funding requests
Nothing for you to risk. It is easy. It is intuitive.
Just follow the basic instructions in this document and we will work with you to
find out to what extent we can help

APPLICANT GENERAL INFORMATION
BITCOIN VENTURE CAPITAL FUND APPLICATION
© 2014 THE PANAMA FUND, S.A

This Application may be subject to revision or amendments at any time without prior notice or consent

2

Company name if any: ____________________________________________________
Contact Name & Title: ____________________________________________________
Address: _______________________________________________________________
City & State: ____________________________________ Zip Code: _______________
Country: _______________________________________________________________
Telephone: _____________________________________
E-Mail Address _________________________________________________
(Must be the same as the one you registered with on HavelockInvestments.com)
Please include a scanned copy of a Government Issued ID

CERTIFICATION
I, the undersigned, on behalf of company / entity identified above, hereby submit the following
application to The Panama Fund. I certify that all information, representations, and/or statements
provided to The Panama Fund in connection with this application are true and correct in all material
aspects.
I understand this application is subject to approval by The Panama Fund and I am aware that
venture capital funds are not available until final approval and issuance of units in the Fund is secured.
All Funds will be placed in escrow and will be distributed to your company in installment payments via
the transfer of Bitcoins based on provable completed agreed phases by your company.
I understand that The Panama Fund may conduct a compliance check on any of the beneficiary
shareholders of the Company.

__________________________________________
Signature
__________________________________________
{Print Name and Title}
__________________________________________
Date

APPLICATION GENERAL INSTRUCTIONS

BITCOIN VENTURE CAPITAL FUND APPLICATION
© 2014 THE PANAMA FUND, S.A

This Application may be subject to revision or amendments at any time without prior notice or consent

3

1. Submit Application Information; if required or otherwise important documents or attachments are not
submitted, an explanation must be included.
2. Only typed or computer-generated applications IN ENGLISH will be accepted and reviewed.
3. Use clear and concise language. Attachments should only be used as documentation.
4. Any inaccurate information of a significant nature may disqualify the application from consideration.
Information contained in the application is considered CONFIDENTIAL and is subject to Non Disclosure,
unless noted otherwise.
5. If you have any questions when generating the application, please feel free to contact us at:
Funds@HavelockInvestments.com
6. Upon review of the Application, The Panama Fund may request additional information and documentation
from you at a later date.

APPLICATION INFORMATION
1. Corporate Papers (If Applicable)
Please provide a copy of the articles of organization or operating agreement certified by an officer of the
Company.
2. Locations of the Company and planned operations
Please provide a signed statement from an officer, director, manager, or a general partner of the company,
stating where the Company will operate out of and what markets they will serve.
3. Special License Requirement
Please specify in detail if the Company is required to obtain or currently has a License to conduct its activities
under the jurisdictions of the Location in which it will operate.
4. Business Plan
Please attach a PDF of your Business Plan with detailed Financials prepared by the Company and indicate the
total amount of capital that the company would like to secure with The Panama Fund.
The Business Plan must also include at a minimum: General description of Product/Service, Target market,
Business model description, Market & Competition analysis, Core Management Team
5. Supporting Documents
Please include any supporting Documents, Websites, Links, Articles, etc. to provide substantive information
about your company and the market for your product or service.

BITCOIN VENTURE CAPITAL FUND APPLICATION
© 2014 THE PANAMA FUND, S.A

This Application may be subject to revision or amendments at any time without prior notice or consent

4






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