i2E Inquiry Form

To inquire about i2E services, please complete the information below. A representative from i2E will contact you soon.
Company Name*
Contact Information
Primary Contact Name*
First Last
Primary Contact Job Title*
Primary Contact Phone Number*
Primary Contact Email*
Company Address*
Street Address Address Line 2 City State ZIP Code
County (if known)
Any additional co-founders or key employees?*
1. Name
First Last
Job Title
Phone Number
Email
2. Name
First Last
Job Title
Phone Number
Email
How did you hear about us?*
How did you hear about us- Other
Tell us about your company
Please answer the following questions to the best of your ability. DO NOT INCLUDE ANY CONFIDENTIAL OR PROPRIETARY INFORMATION.
Provide a short description of your concept in 280 characters or less.*
New or Existing Business?*
Industry*
Is your company women owned?*
Is your company minority owned?*
If yes, please choose the minority type:
If the company is selling goods or services, what was the company’s total revenue for the past twelve months?
Do you have a completed prototype or have you demonstrated the concept?
Describe your product or service in more detail.
How can i2E help? (venture assessment, advisory services, debt or equity funding consideration)
Investment Status
How much, if any, funding is your company seeking?*

Contact Information