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By gs / June 18, 2013

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First Name(Required)

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Email(Required)

*Your LinkedIn or bio URL(Required)

Company Name(Required)

Your Role(Required)

*Company Website URL(Required)

*Company HQ City(Required)

Company HQ Location(Required)

Company HQ - State (if in US)

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*What category best describes your business?(Required)

*What stage is your product?(Required)

*Please provide a link to your pitch deck.(Required)

*Please provide a one-sentence description of your product.(Required)

*How much revenue have you generated in the last 3 months (USD)?(Required)

*What is your month-over-month (MoM) growth rate?(Required)

*How much capital do you plan on raising for this round (USD)?(Required)

*How much capital have you raised thus far (USD)?(Required)

*Are you interested in applying to the MuckerLab accelerator program?(Required)

*How did you hear about Mucker?(Required)

Providing the following information is optional but recommended as it will help our team to better understand your business.

Please provide a short description of your founding team.

Who are your target customers?

What unique insight or belief(s) do you have about this market?

Who are your closest competitors and how do you differentiate?

Please describe your business model (i.e., how you plan on making money).

Who, if anyone, have you been in previous contact with at Mucker?

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