Venture135 Event Application Form
Email *
Name of the person filling this application form *
Title of the person filling this application form *
Email of the person filling this application form
 *
Full legal name of the company
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Company website
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Which year was the company founded? 

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Where is the company incorporated (state and country)?

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Where is the company headquartered (state and country)?

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Please provide a one-sentence description of what your company does?

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What stage is your company currently raising or about to raise?

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How much total capital have you raised so far including current and previous rounds (in USD millions)? -  Only closed rounds, meaning money in the bank account, not agreements or verbal pledges.

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If you have raised capital, when did you close your last round? - Don't include open or non-completed rounds.

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What was the valuation of your last round or cap and/or discount if a convertible note (in USD millions)?

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If you are fundraising now, how much is this current round (in USD millions)? If you do not currently have an open round, please answer "0".

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How much revenue are you generating per month (in USD)? - You can use last 90 days average monthly if you want.

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What percentage of your last monthly revenue was recurring (in %)? - You can use last 90 days average monthly if you want.

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What is your last monthly burn rate (in USD)? - You can use last 90 days average monthly if you want.

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Do you or one of your co-founders can be identified as Traditionally Under-represented Founders (TURF)?

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Are you or one of your co-founders a veteran?

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Do you or one of your co-founders identify as female? 

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Are you or one of your co-founders of Hispanic, Latino, or of Spanish origin?

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How would you describe yourself and your co-founders? Check all that apply.

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Required
Who within your company would be presenting at this pitch opportunity? Please provide the name and title.
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Please provide link of your Pitch deck.
If you get to know about this event from " Referral", then please name it. *
A copy of your responses will be emailed to the address you provided.
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