Madworks Fall 2018 Cohort
Please fill out this form. If you have any questions - contact Collin at support@madworksaccelerator.org
Company Name *
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Company Address *
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City *
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State *
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Zip *
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Main Contact Phone Number *
Please provide a contact number that has little likelihood of changing. In case Madworks needs to get in contact with you after the Cohort is finished - specifically for WEDC required reporting.
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Main Contact E-Mail *
Please provide an e-mail address that has little likelihood of changing. In case Madworks needs to get in contact with you after the Cohort is finished - specifically for WEDC required reporting. (Might be best to use a personal e-mail!)
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First Founder Name *
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First Founder E-Mail *
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Second Founder Name *
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Second Founder E-Mail *
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Third Founder Name *
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Third Founder E-Mail *
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EIN Number (Tax ID) *
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