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Entrepreneurs Application Form

First Name

Last Name

Company Name

Are you a public or private company?

What industry are you in?

Your LinkedIn URL

List the position and LinkedIn profiles of your co-founders and executive team

Your elevator pitch?

What is your companies biggest achievement so far?

Please list your company's social media profiles?

How much money have you raised in the past 36 months?

How did you raise money?

Would you be interested in raising capital through crowdfunding methods such as Reg. CF or Reg. A+?

How much money do you wish to raise?

Your main competitors?

Top differentiating characteristics?

Are you pre or post revenue?

What is your revenue model?

How big is your current customer/client base?

At what stage is your business currently?

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