WPI Venture Forum Business Plan Contest Entry Application and Mentoring Request Form Fee: $50.00 US Applicant Name Title(s) Business Name Address Phone Business Stage: Age of Company: Type of Business (check all applicable areas): Biomedical High Tech (Software / Hardware) Telecommunications Manufacturing Service Other Nature of business in 200 words or less: Idea Email Alpha/Beta Start-up Revenue Producing Target Launch Date: Business website address Mentoring is available, but please check website for deadline. Check one area only: Creating an executive summary Defining the product or service Marketing overview Competitive landscape Other Financials Legal Team building The undersigned certifies that the Executive Summary submitted with this application is his/her original work to which he/she has all rights of ownership. Signature: Date: Mail to: WPI Venture Forum, Business Plan Contest, 100 Institute Road, Worcester, MA 01609-2280. Please call Brian Dingman at 508-898-1501 for further inquiry. Please include a $50 check with the application. Ineligible applications will be returned with refund.
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