WELLTECH1 MEMBER APPLICATION

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

Company Name

Contact Name

Cellphone

Email

Website

Company Description

Office location

Date Founded

Sector

Founders Full Names

Founders background

# of employees

Have you won any awards?

Who Are Your Main Service Providers?

Who are the main competitors?

Patent

YesNo

Stage

POCPre-seedSeedRound AAbove Round A

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