Get Funded Accepting Applications Now! Are all of these true for you and the company?(Required)a) Open to a rigorous vetting process, including review of company financials, customer contracts, and background checks for officers, and key employees? b) Willing to have your company filmed for three years. c) Not planning an IPO in the next 12 months. Yes No 2. Acknowledge an understanding of the following:(Required)a) I understand this application does not guarantee funding or being featured on Pop Venture. b) The information gathered in this application will be used only by Pop Venture Inc. Yes No Company Name(Required) Company Website(Required) Are you US based?(Required) Yes No Company Address(Required)United States Only at this time. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code CEO Name(Required) First Last CEO Email(Required) CEO Phone(Required)Are you the CEO?(Required) Yes No Are you a founder of this company?(Required) Yes No Business Stage(Required) Growth / Expansion Proof of Concept Revenue Positive EBITDA Positive Prior Year Revenue(Required) Is this a Healthcare or Biotech company?(Required) Yes No How much funding could the company put to good use at this time?(Required) Which of these categories best describes how the company would use the funding? Check all that apply.(Required) Innovation (R&D) Implementation Optimization/ Upgrade Expansion/ Scale Is the company doing something (anything) innovative – something that’s never been done before?(Required) Yes No CAPTCHA
