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Five-Minute Pitch Contest Application Form

Application Form

Please submit the following information to apply to the WPI Venture Forum Five-Minute Pitch Contest.

* Company Name:
* Primary Contact:
* VF Member:	Yes No
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Phone:
* Email:
Web site:
Business Overview (100 word max):
Business Opportunity (100 word max):
Product/Service (100 word max):
Industry/Market (100 word max):
Business Model (e.g. What is the plan to generate revenue?, 100 word max):
Stage of Need (100 word max):
Describe Leadership Team (Please do not use names, 100 word max):
Advisory Board:	Yes No
I am aware that this information will be read by WPI Venture Forum administration and screening committee members to select presenters.	Yes
I agree that info in this form, videos of the contest, and other info provided to WPI may be used in WPI publications and that we respect confidential information.	Yes
Type in the following two words

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Last modified: March 25, 2010 18:33:48