Request edit access
Startup Application for Italian Innovation Webinar
Please fill out this application to apply to pitch in the webinar. After you apply, our team will review and be in touch shortly for next steps.
Sign in to Google to save your progress. Learn more
Company Name *
Company Website
Main Contact Name *
Main Contact Email *
Main Contact Phone *
Please list team with short bios *
Location (City, Country) *
Number of Employees *
Year Founded *
Funding Stage *
External Investment To Date *
Current Investors
Product Stage *
Business Model *
Required
Short Company Description *
Target Industries *
Target Market *
Required
Referred By
How much investment are you seeking to raise? *
Any additional comments
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Axis Innovation.

Does this form look suspicious? Report

Google Forms