Now Casting for Entrepreneur Elevator Pitch

Applications are now open for Entrepreneur Media's Elevator Pitch. We welcome entrepreneurs who have products or services that are ready for investment, and who have a specific plan for how that investment can help them grow.  Please be as detailed as possible with your answers.

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First Name *
Last Name *
Email *
Cell Phone *
Are you over 18 Years of age? *
What state are you located in?
Referred By:
Company Name *
Company Website *
Company Size (# of employees) *
Which category best applies to your company *
What stage is your company in right now?
 *
How much revenue have you made in the past 12 months (in USD)?
 *
What motivated you to start your company?
 *
What is the status of your patent?
 *
If you do have a patent or it's pending, please provide your patent # 
How much money are you asking of investors and what amount in equity are you wiling to give up for it?
Please provide a link to your 60-sec pitch video
The investors will be investing their own money at their own discretion, and selection of an entrepreneur to participate in the show is not a guarantee of an investment.  Other than the potential for investment from the Investor panel,  there is no compensation for appearing on the show Elevator Pitch.   

Have you read the above  and do you agree?
 *
IMPORTANT:  PLEASE READ THIS QUESTION IN ITS ENTIRETY:  

If you are chosen for Entrepreneur Media's  Elevator Pitch:
- Travel to Fort Lauderdale, Florida will be AT YOUR OWN EXPENSE.  
- Hotel accommodations will be AT YOUR OWN EXPENSE. 
- Entrepreneurs will BE REQUIRED TO BE PRESENT FOR 2 DAYS OF FILMING 

Do you agree that if you are chosen, you are responsible for all the costs described above?
 *
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