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* 1. Company Name

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* 2. Founder Name

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* 3. Company Website

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* 4. Address

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* 5. Year Established

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* 6. Revenue Last Year (if appl.)

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* 7. Current Revenue YTD

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* 8. What traction or validation (e.g., users, revenue, partnerships, pilots) have you achieved to date that supports your solution’s potential?

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* 9. 60 Second Pitch (Problem, Solution, Innovation)

Upload a 60-second pitch highlighting the problem you’re solving, your product solution, and what sets your company apart. Please upload your video to a cloud service (e.g., Google Drive, Dropbox) and paste the shareable link in the text box below

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* 10. Headshot & Logo

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 11. How did you hear about us?

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