Applied Ventures Submission Form

Please complete the form below and submit it with an Executive Summary of your business plan. The Executive Summary should include:

Biographical information of key management
Description of the product and/or service
Explanation of your market, competition and differentiation
Funding history and plan

Once we receive the information, it can take 2-4 weeks for the initial review process. Upon completion of this initial review, you will either be asked to submit additional information or informed of our decision.

Please do not disclose any confidential information to us.

* = required field

Salutation：

名：*

Last Name：*

标题：*

Company Name：*

Email Address：*

Web Site：*

Phone：*

Fax：

Mobile Phone：

描述：*

地址：*

City：*

State / Province：*

Zip / Postal Code：*

Country：*

Focus Area：*

Material Sub-Category：

If Other：

Nature of Proposal：*

Total Investment Need：

Numbers only, do not enter currency symbols or commas (e.g. 100000).

Executive Summary Attachment：

Must be a .doc, .docx, .gif, .jpg, .jpeg, .odp, .ods, .pdf, .png, .ppt, .pptx, .rtf, .tif, .txt, .xbrl, .xls, .xlsx or .zip file, less than 6 megabytes in size.

Applied Ventures Submission Form

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