Ready to Rocket 2019 and Emerging Rockets 2019 Nominations
This is the nomination form for companies seeking recognition for the Ready to Rocket list for 2019.
Company Name *
What is the name of the company you wish to nominate?
Your answer
Company URL *
What is the corporate website of this company?
Your answer
Which Ready to Rocket list are you nominating for? *
ICT includes Information, Communications, Internet, Mobile and Media technology. Digital Health includes everything from medical health records to wearable devices and lifestyle health applications. Life Sciences includes Biotechnology, Pharmaceuticals, Medical Devices, Healthcare Information Technology and other innovations improving health. CleanTech includes renewable energy (wind power, solar power, biomass, hydropower, biofuels), green transportation, electric motors, green chemistry, lighting, environmental protection (air, water, soil) and any innovation that improves energy efficiency. AgTech includes Agricultural Technology, Food and Food Processing Technology, and Cannabis Related Technology.
Nominator Email Address *
What email address can we contact you as the person nominating this company?
Your answer
Nominator Relationship to Company *
What is your relationship to the company?
Company Contact Name
What is the name of the right person to contact at the company?
Your answer
Company Contact Email Address
What is the email address of that company contact?
Your answer
Reason for Nominating
Why do you think that this company has high revenue growth potential in the coming year?
Your answer
Stage of Company
Is the company in the early stages of market adoption, or is it in high growth phase?
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This form was created inside of Rocket Builders.