Thank you for your interest in this challenge. Estimated time required for this form is below 5 minutes!
Contact Details
Company Name & Website
In which city & country are you based?
In which year where you founded?
First / Last name
What is your email address?
Phone Number
please include your national prefix in front of your number (for instance +31)
If you have a LinkedIn, please share your profile with us here
Link to your personal account
Please provide a description of your company
How many FTEs are currently employed?
Are you generating revenue?
Please select
No
Grant
0 - 100K
100K - 1M
1M - 10M
10M +
Please select
How much funding have you raised to date?
Which funding stage are you in?
Please select
Pre-seed Stage
Seed Stage
Series A
Series B
Series C
Public
Please select
Can you provide a
NON-CONFIDENTIAL
pitch or slide deck with us?
Attaching a pitchdeck greatly increases your chances of moving forward to the next selection round. Please make sure it is non-confidential otherwise we cannot share it with the challenge owner.
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