Company Registration Form

All submissions due by June 20th, 2009 @ MIDNIGHT

Submission Process

Step 1: Complete all information sections of the application below and submit

Step 2: Email your Executive Summary to: ashley@plugandplaytechcenter.com

The Executive Summary should be 1 page and address the following:

Company overview - company history, background
Market opportunity - include the market drivers and how you are addressing them, target market
Product, service, or technology to be commercialized
Target launch date
Competitive overview: who are your competitors, what are your competitive advantages
Technology surrounding your product
Go-to-market plan
Overview of management team: names, titles, short bio of each
Financial overview: funding to date, profitability expectations, how much funding needed to hit profitability
Plan for execution. 12 month milestones, stage of development

Company Name
Address
City
State
Zip/Postal Code
Country
Website
Primary Contact Name (CEO or equivalent)
Primary Contact Title
Primary Contact Phone
Primary Contact Email