Submit Entrepreneur's File Form

If you think there is a good fit between your needs and our goals, we would like to hear your idea. Please fill up the following questionnaire.

An asterisk (*) indicates a required field.

Name:*
Last Name:*
Email address:*
Industry:*
Address:*
City:*
Prov./State:*
Country:*
Postal/Zip Code:
Work Phone:*
Home Phone:
Company Name:
Website:

	Which Internet Category does your business idea belong to? Ecommerce (B2B B2C) Internet infrastructure technology Other

	What phase of project development are you in? Conceptualization Product Development Market Tested Product Existing Business Other

	How much capital do you need?

	Have you obtained financing before? If so, from whom? Family and relatives Wealthy friends Angels Venture Capital Banks Other, please specify:

Please type in a brief summary of your business plans and let us know why you will succeed.*