MEF Americas 2012 Mobile Startup Competition

1. Company Name *This question is required.

2. Address: *This question is required.

3. Address 2:

4. City: *This question is required.

5. State/Province:

6. Postal Code: *This question is required.

7. Country: *This question is required.

8. Phone Number: *This question is required.

9. Fax Number: *This question is required.

10. Company Website: *This question is required.

11. Year of Product-to-Market: *This question is required. This question requires a valid number format.

12. Number of Employees: *This question is required.

13. CEO's First Name: *This question is required.

14. CEO's Last Name: *This question is required.

16. Formal Job Title (e.g. "President"): *This question is required.

17. CEO Phone Number: *This question is required.

18. CEO email: *This question is required. This question requires a valid email address.

19. Have you raised capital? *This question is required.

20. Is the Company Profitable: *This question is required.

21. Technology Overview (in 30 words or less): *This question is required.

22. Business model (how do you make money)?: *This question is required.

23. What problem does your technology solve?: *This question is required.

24. Primary advantage over competitors: *This question is required.

25. Is there anything else you would like to tell us about the company?:

26. Submitter's email *This question is required. This question requires a valid email address.

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