On-line Contact Form

By admin | Capital, Entrepreneur, Innovators, Investment | Comments are Closed | 1 June, 2018 | 34

On-line Contact Form

To inquire about i2E services, please complete the information below. A representative from i2E will contact you soon.
Contact Information
Primary Contact Name*
First Last
Primary Contact Job Title*
Primary Contact Phone Number*
Primary Contact Email*
Company Name*
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:*
Is the company pursuing a high-growth business strategy, as demonstrated by compound growth rates for sales and employment, which may require outside investment?*
Which of the following best describes your business?*
Is the business already selling goods or services?
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
Is the business actively seeking outside investment?*
How much investment are you seeking?

On-line Contact Form

On-line Contact Form

Contact Information

Tell us about your company

Investment Status

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