Tell Us About Your Product
To apply for Americans Serving Americans to fund and promote your product, simply answer all the questions below.

If you do not feel comfortable answering these questions, click this link to sign our Non-disclosure Agreement.

Then, come back and answer all the questions below. Here's the NDA link:

Email address * (Click link to watch video)
What is your full name? *
What is your primary phone number? *
Where are you from? *
What inspired you to make your product/service? *
What is your product/service? Provide as much detail as possible. *
Is your product/service already developed? *
Do you currently have manufacturers? (if applicable) *
Is your product/service currently being distributed/rendered? *
How much money are you asking for? *
What do you need the money for? *
How much does it cost you to make your product? (if applicable) *
How much will/does it sell for? *
When did you start this business? *
Do you have current sales? If so, how much did you earn last year and how much so far this year? *
Do you have partners? If so, what percentage do you own? *
Do you have a website? If so, what is it? *
Can you provide samples of your product? *
Are you willing to pay your employees $12.50/hr? *
Did anyone refer you to us? If so, what's their name? *
Do you have any documentation, pictures, or videos you would like to upload? If so, upload it here.
A copy of your responses will be emailed to the address you provided.
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