Exit Venture Conference Pitch Application/Exhibitor Profile Form - Deadline: March 21 Venture Conference presenters have 90 seconds to pitch their company. They are allocated one display table which they can use for the entire conference. WIFI will be available as well as electricity. Presenters will be have one page in the event book which will be distributed to all attendees. Once we have accepted your application [you will be notified by March 24] we will point you to our pitch registration page. Event page. * 1. Are you a NJ Tech Council Member, Future Member or Incubator/Accelerator Venture?Accepted startups can bring 2 guests at no additional cost. Member ($150) Future Member ($445) Sponsor Referral ($150) Incubator/Accelerator Company ($150) Meetup/CoWorking Referral ($150) * 2. Please provide your contact information Name of Contact Person Company: Address: Address 2: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code: Province/Country: Email Address: Phone Number: * 3. Website * 4. Social Media Handles * 5. C-Level Management (Name, Title): * 6. Industry: * 7. Full Time Employees 1-5 6-10 11-15 16-20 21-30 31-40 41-50 50+ * 8. Law Firm: * 9. Bank: * 10. Accounting Firm: * 11. Total Previously Invested: * 12. Current Investors: * 13. Amount of Financing Sought: * 14. Type of Financing Sought: * 15. Business Description and Strategy (50 words): * 16. Use of Funds (50 words): * 17. Products/Services/Technology (50 words): * 18. Board Members, Advisors & Affiliations (50 words): * 19. Target Markets & Distribution Channels (50 words): * 20. Competition (50 words): * 21. Achievements to Date (50 words): * 22. Company Outlook (50 words): Thank you for your submission!