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Let Us Know More About You & Your Company

First Name

Last Name

Role / Title

Role (if chose Other)

Work Email

Phone Number

Company Name

Company Website

Company Type

State Incorporated In

One Line Description Of Your Startup

Number of Employees

Company Vertical ( Select All that Apply)

Financial Tech Payments Commerce Cyber Security IT Infrastructure Cloud Computing Blockchain Web 3 Crypto Hospitality Innovation HealthTech Telemedicine Video Games Ed Tech Clean Tech SaaS

Have You Raised Any Funding?

Yes No

How Much Funding Have Your Raised (In USD)

What Stage Of Funding Are You In?

Pre-Seed Seed Series A Series B Series C

Describe Your Product Or Service (In 50 Words Or Less)

Who Uses Or Would Use Your Product?

What Is The Readiness Of Your Product

Idea Only - You See A Need Early Concept - Completed Definition And Research Prototype - No Development Started Alpha - Developed A Version For Internal Users Beta - Developed And Deployed A Test Version With Real Users MVP - Completed And Released A First Version To A Real Customer Commercial - Deployed Multiple Releases With Multiple Real Customers Scale - Deployed In The Thousands And Millions

Do You Have Any Patents?

Yes No

Is This Your First Startup?

I Have Been A Founder Before I Have Been Part Of The Early Team At A Startup I Have Never Been At A Startup

Name(s) Of Your Previous Startup(s)

Status Of Your Previous Startup(s) [check all that apply]

Acquired IPO Merged Ongoing Shut down

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