APPLY FOR AN INVESTMENT OF UP TO $500K

To apply, please take the time to fill out the information below.

Company Name

Contact Name

Cellphone

Email

Website

Company Description

Describe what your company does in one sentence

Office Location

Date Founded

Sector

If you answered "other" please mention the relevant sector

Founders' Full Name

Founders' Background

# of Employees on Payroll

Patent

Patent Description

Who Are Your Main Service Providers?

Who are your main competitors and how do you differ from them?

What is your market potential?

Stage

How did you hear about this competition?

Any comments or clarifications regarding this section?

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