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* 1. Name

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* 2. Email

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* 3. Company name

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* 4. Company Location

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* 5. Company website

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* 6. Year founded

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* 7. Please give us your elevator pitch - describe your company in 150 characters or less

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* 8. Is your product on the market?

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* 9. How does the solution you're working on address one of the focus areas?

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