Business Intake

Welcome to your Startup Intake. Please be sure to complete all the questions as accurately as possible. We will use this information to assess our ability to assist you and when preparing options for you. Thanks!

First Name
Last Name
Company Name
What country are you in?

What state or province are you in?

What city are you in?

What industry is your business in?

What is the stage of your business?

How many Founders are there for this business?

How much cash have you contributed to the business?

How much have you raised for your company not including your own contribution?

When do you anticipate seeking funding?

Do you have an Executive Summary?

Do you have a business plan?

Do you have 5-year projections?

Do you have a Pitch Deck?

Please summarize your business in 9 words or les

Describe your business in 500 characters

What is your geographic target to serve?

How much are you seeking to raise?

What investment round will this be?

What percentage of your company are you willing to sell for the funding?

What was your gross sales for the last 12-months?

What do you believe your company is worth?

Why do you believe your company is worth that amount?

Thanks for taking the time to complete this survey. We will contact you within 3 business days.

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