Your Name (required)

Your Email (required)

Your Phone

Your Mobile

Website

Company Name

Company Address

Legal Structure
 LLC C-Corp Sub Chapter S Other

Number of Employees

Team Members

Industry Type
 Agriculture Accounting Advertising Aerospace Aircraft Airline Apparel & Accessories Automotive Banking Broadcasting Brokerage Biotechnology Call Centers Cargo Handling Chemical Computer Consulting Consumer Products Cosmetics Defense Department Stores Education Electronics Energy Entertainment & Leisure Exchanges Service Executive Search Financial Services Food, Beverage & Tobacco Funds Grocery Health Care Internet Publishing Investment Banking Legal Manufacturing Motion Picture & Video Music Newspaper Publishers Online Auctions Pension Pharmaceuticals Private Equity Publishing Real Estate Retail & Wholesale Securities & Commodity Soap & Detergent Software Sports Technology Telecommunications Television Transportation Trucking Other

Characterize your Phase
 Concept Prototype Product Ready for Market Already selling Breaking Even Profitable

One line pitch

What makes your product/service unique?

How large do you estimate the market to be? What are your target markets? Who are your customers?

Business Model - How do you generate revenue?

Who are your current or likely competitors?

How much funding have you raised to date?

Sources of funding to date?

What are your funding needs?
 $100K - $500K $500K-$1M $1M-$2M $2-$5M <$5M

What is your company's valuation??
 $0 - $250k $250K-$500K $500K-$1M $1M-$2M $2M-$5M >$5M

How do you plan to use the capital you are seeking?

What type of business assistance are you seeking?

What events are you interested in participating?
 Tech Meetups Workshops & Seminars Startup Weekends Networking Events Conferences

Do you want to join our Business Community Newsletter?