Wufoo
Capital Request Form
Name of the product:
Describe the product:
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(a) Who is your target market, and how big is that market?
(b) What stage of development is the product in?
(c) Describe any marketing efforts already begun
(d) Projected time line to market?
*
Who is your competition?
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Who is your target market, and how big is that market?
*
If you already have a company set up…
a) list the date established:
b) type of company (partnership, corporation, etc.):
c) formed in what state?
d) List the ownership and percentage of distribution:
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Describe your background, and the background of any other founders/developers:
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(a) Is the product patentable?
(b) Any foreseeable obstacles to getting the product to market… what are they?
(c) What do you see as your strengths and weaknesses?
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Describe your financial requirements:
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Name
Other Founders/Partners Names:
Address:
City:
State:
Zip:
Day Phone:
Eve Phone:
Email address:
Website:
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