application form

Cann10 Accelerator Application Form
Please fill-in the following form in English and send to [email protected]
Application Date
Organization Background
Company Name
Year Established
Full Address
Website
No. of Employees
No. of R&D Personnel
Project Title
The Problem
The Solution
Innovation & Advantages
IP Status
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Market Potential
Company Current Status
Do you have an initial regulatory plan?
Yes
No
If yes, please describe your Planned Regulatory Strategy
Team Members
Roadmap - Milestones to Commercialization
The Resources Needed
Investment required for next round:
Additional investments in future rounds
until product commercialization:
Amount invested in the company to-date:
Company valuation for next round
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Company's Shareholders
Shareholder Name
%
Shareholder Name
%
Contact Person Data
Last Name
First Name
Function
Title
E-mail
Mobile
Direct Telephone
Fax
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