2021 Florida Venture Capital Conference Presenter Application

2021 Presenter Application
Upload a "1 minute" Video

In addition to filling out the application below, upload a short "1 minute" video that tells us what you do and why you do what you do? Please email your video to: pat@flventure.org
Company Name: *
Presenter Name: *

Prefix First Name Last Name Suffix
Presenter Title: *
Presenter Email: *
Website:
Twitter Handle:
Phone Number: *

Area Code Phone Number
Address: *

Street Address

Street Address Line 2

City State

Zip Code Country
Business Summary: *

0/100
Products/Services: *

0/100
Have you presented at a Forum event before? If so, when and where?: *

0/100
Description / Technologies / Special Know-How: *

0/100
Target Market: *

0/100
Business Model: *

0/100
Competitive Advantage: *

0/100
Industry: *
# of Employees: *
Year Founded: *
Funding Stage: *
Previous Capital: *
Monthly Burn Rate: *
Pre-Money Valuation: *
Capital Seeking: *
Management Team: (list key members and provide short bios) *

0/100
Advisors: *

0/100
Investors: *

0/100
Attorney: *
CPA: *
Referred By: *

Financials: *

2019

2020

2021

2022

2023

Revenues

Gross Profit

EBITDA**

2021 Presenter Application