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General Company Information
Legal Company Name
*
Contact Name
*
First
Last
Title
*
Address
Street Address
Address Line 2
ZIP / Postal Code
City, State and Country
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City/State and or Country
Email
*
Phone
Business Plan/Pitch Deck Upload
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Max. file size: 50 MB.
Brief Description of Company or Product- What do they do?
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Founder,CEO and/or Owner are identified as: (check all that apply)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Is the company woman-owned?:
*
Yes
No
Is the company veteran-owned?:
*
Yes
No
Name of CI Contact
First
Last
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