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First Name

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Last Name

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Phone

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Company Information

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Name of Company

What is the name of your company?

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Website

What is your company's website?

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Country/Region

This could be the primary location of your home office or the primary market your company serves.

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What problem are you solving? Who is your customer?

Please keep your answer to under 100 words.

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Describe the product and the technology behind

Please keep your answer to under 100 words.

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What traction do you have?

Technical (current TRL & validation) & Market (Include revenue and active users) do NOT include pitch competitions. Please keep your answer to under 100 words.

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Describe who is on the team and what is your background

Who are the founders or important teammates? (include LinkedIn profiles if available) Please keep your answer to under 100 words.

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What is your current runway?

Enter the max number of months that you could operate without funding?

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Stage of company

Are you pre revenue or post revenue?

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Funding stage

If none of the options below fit your needs, you can leave this field blank.

What round of funding are you looking to raise?

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Deal Terms

Have you raised any capital before? How much do you plan to raise? How much of that has already been raised? What vehicle will be used (SAFE, convertible, priced equity)?

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Upload your deck

If you have an other document we should have a look at, upload it here.

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Data Room URL

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Short description of the company

one paragraph, founder’s own words

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Pre-money valuation

(Number in USD$)

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Use of funds

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Investment domicile

Country of Incorporation

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How did you hear about Deep Impact?

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What is the one assumption that, if wrong, would most threaten this business?

Be as honest as you can, our goal is to help you

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Company Information

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