Startup ticket Application Form

Fields marked with * are mandatory.

StartUp information

* StartUp Name

Webpage

if any

Twitter profile

if any

Name of the company

if registered

* Date Founded

Which discipline matches your business area:

* Short description of the startup

Stage of the StartUp

Pre seed Post Seed Round A Round B Round C

Contact person

* First Name

* Family Name

* Email

* Phone

* Country

* Address

Attendees to the event

* Number of tickets

Other members and partners within the organization (optional)

If you have members and partners within the organization please fill in the table below. If you fill in any name then position and all fields for the same person / organization are mandatory.

#1 Member		Bio and experience
Name
Family name
Position
Email
Facebook profile (url)
LinkedIn profile (url)
#2 Member		Bio and experience
Name
Family name
Position
Email
Facebook profile (url)
LinkedIn profile (url)
#3 Member		Bio and experience
Name
Family name
Position
Email
Facebook profile (url)
LinkedIn profile (url)
#4 Member		Bio and experience
Name
Family name
Position
Email
Facebook profile (url)
LinkedIn profile (url)
#5 Member		Bio and experience
Name
Family name
Position
Email
Facebook profile (url)
LinkedIn profile (url)