Application – Startup Lounge

First Name:

Last Name:

Email Address:

Organization:

Title:

Number of Employees (Range if acceptable, e.g. 1-10):

Your Website (if available):

Brief Description of your company:

Primary Sector of your Startup:

If you selected other, what is your Primary Sector?

Secondary Sector (Artificial Intelligence, Mobile App, Software, etc.)

Please tell us why you would like to be featured at the Startup Lounge?

Have you received investment?

Yes

No

How many people will attend the Startup Lounge?

Thank you for filling out your application! Please press the submit button and we will be in touch shortly with next steps.