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* 1. What is your first name?

* 2. What is your last name?

* 3. What is your phone number?

* 4. What is your mailing address?

* 5. Email Address

* 6. Web Site

* 7. What type of entity is your company

* 8. What is your idea?  What is exciting about it?

* 9. Who are the founders and what skills do they possess?

* 10. How long have you worked on your idea thus far?

* 11. What type of product are you building?

* 12. Who is your customer

* 13. What stage of development are you at?

* 14. How have you financed the startup thus far?

* 15. How much financing do you have thus far?

* 16. If accepted will you work full time on this startup with no other substantial work obligations?

* 17. Describe the problem you are solving.

* 18. How are potential customers solving that problem today?

* 19. What are your competitors?  How are you different?

* 20. How do you plan to acquire customers?

* 21. Describe your revenue model and expected growth rate.

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