Please print off and complete this form. Then return it to The Oxfordshire Investment Opportunity Network Ltd with a cheque for the annual membership fee of £1175 (£1000 + VAT) payable to "OION". You will receive a receipt.

The information given is confidential to The Oxfordshire Investment Opportunity Network Ltd and will not be released to third parties without your consent.

Contact Details
Name: Position: Company/Organisation: Address: Phone: Fax: Mobile: E-mail: Website:
Business sector interest

Please indicate your business sector or your organisation's business sector (eg finance, law etc).
Sponsorship
Please indicate if you are interested in sponsorship opportunities. Annual Dinner Investment Meetings Other, please describe below
How did you hear about Oxford Investment Opportunity Network?

I enclose a cheque for the annual fee of £1,117.50 (£1,000 + VAT) payable to "OION".

I understand that the information I have provided will be stored on a database and will be used by The Oxfordshire Investment Opportunity Network to ensure that appropriate companies seeking investment can be brought to my attention.

Signed: Date:

Please complete and return to:

OION Network Manager

The Oxford Investment Opportunity Network
Oxford Centre for Innovation
Mill Street
Oxford OX2 0JX

Tel +44(0)1865 811133
Fax +44(0)1865 209044