Idaho TechConnect | Client Application

Commercialization

Raising Capital

Client Application

Client Application

If interested in becoming a client with Idaho TechConnect, please fill out the following application to the best of your abilities. We will review and respond to your application in a timely manner.

*Note: All fields marked with an asterisk (*) are required.

*Name*EmailCompany Name (if there is one)AddressCityStateZip CodePhone number

(

)

-

Ext.

How is your business organized?

Sole Proprietorship

Partnership

Limited Liability Company

Other

Date business started (if it's been established)

Stage of Development

Resarch

Idea Stage

Early Stage

Prototype Stage

Development Stage

Expansion Stage

Business Plan

Do you have a business plan?

Yes

No

Briefly describe your business or business idea:How is your business or idea unique?Describe the market for your product/service, including customers and competitors:Describe the business and/or technical issues that you need assistance with:Other comments:

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