[company logo, if available]

[Sender: Name]

[ Organization]

[Address, country]

[E-Mail]; [Web Site]

VERHAERT, NEW PRODUCTS & SERVICES

COPERNICUS INCUBATION PROGRAMME

SUBJECT:Application to Copernicus-Incubation programme

Dear Madam, dear Sir,

Incubation support programme ___[incubator/accelerator name]______(hereinafter referred toincubator), located ______establishes this Support Letter to support the start up______[start up name]______(hereinafter referred as start-up) application for the Copernicus Incubation Programme.

This Support Letteris a commitment to provide the start-up with the incubation servicesif the start-up receives support from the Copernicus Incubation Programme.

We offer our recommendations to this start-up for the Copernicus Incubation programme based on our incubator evaluation & selection results (if available, please provide details in appendix) or “reasons-to-believe” in its potential & our ability to support its incubation:

……………………………………………………………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….……………………………………………………………………………………………..………………………………………………………………………………………………………….………

This Support Lettershall remain in effect for a period of ______(suggested at least 6 months), unless either party terminates sooner by notifying the other party in writing. The parties may extend this Letter of Intent by mutual agreement.

Any queries relevant to the proposal are to be addressed to the attention of:

[Name(s), Address (es), Phone, [E-Mail]

Signature(s):SubmissionDate:[insert date of submission]

[Please remove all blue text before submitting the document.]

Compliancy Checklist

General Compliancy Requirements: / Compliance statement
The seat of the incubatoris in EU, Norway or Iceland. / [Compliant]
The Incubator is able to communicate in English. / [Compliant]
The Incubator has competences & ability to guide the start–up through a business development journey in its domain. / [Compliant]
The Incubator has capacity and infrastructure to provide the start up with incubation support services. / [Compliant]
The information provided in the application is binding. Any changes in this information must be reported immediately and are subject to approval. Further evidence can be requested by the programme management team and will be provided by the Incubator at any time. / [Compliant]

I hereby declare that my application is compliant to the General Application Compliancy Requirements.

Signature(s): SubmissionDate: dd.mm.yyyy