Here’s the info we need for the databank

Fill out this form to apply to the leading private databank of innovative companies in Atlantic Canada. You can include as much or as little information as you wish. We know, it's a long form, but this info will be seen by vetted members, VCs, angels, government and the like. This data will never be sold, and we'll never let subscribers use it for sales purposes. One final point: we ask for your revenue data just to help us calculate overall revenue stats in your sector and/or province. We will never reveal the revenue of your particular company publicly.

Company Name Address City Postal Code Province {options:company_province} {option_name} {/options:company_province}

Website Contact Email Address Phone Number Description  

Year Incorporated Number of Employees

University/College Affiliation Industry Segment IT       Web Development       Social Media Analysis       Crowdsourcing       Mobile telecom       eLearning       Gaming       Software       Social media       Online marketing       Hardware       SaaS Biotech       Drug discovery       Medical Device CleanTech       Vehicle Sharing       Green Energy Manufacturing Agri-tech or Foodtech

Management Team
Please enter the members of your management team, including name and title.   Board of Directors
Please enter the members of your board of directors, including name and title.   Advisors
Please enter the members of your advisory board, including name and title.   Funding History
Please enter all details of funding history including source, type, date, amount, indicating dilutive and non-dilutive funding.  

Expected Revenue
Please enter the type, amount and dates of expected incoming revenue.   Please enter the word you see in the image below:

Funding Needed for Next 2 Years Hires Planned on Next 2 Years