<%refercode=Request("refercod") refered=Request("nick") error1=Request("error") %> <% Response.Redirect("entre1.asp?refercod="&refercode&"&nick="&refered&"")%> Untitled Document <%Set RS6 = Server.CreateObject ("ADODB.RecordSet") sql6 = "SELECT top 1 * FROM refer WHERE titulo='"&refered&"' and refercod='"&refercode&"'" RS6.Open sql6, oConn,1,1 if rs6.EOF then %>
Refer name :
Refer Code :
<%else%>

 

<%if error1="referer" then%> <%if error1="referer" then%>

User Name

Password

Password Confirmation

How did you find out about The SWAP?

Please select the region that your company operates in

(select all that apply)

New York (East Coast)
Boston (New England Region)
Canada
Chicago (The Midwest)
Texas (The South)
Northern California (San Francisco, East Bay and Silicon Valley)
Seattle (The Northwest)
Southern California (Westlake Village & Los Angeles)
Southern California (Orange County & San Diego)
The United Kingdom
Australia
Other
 

Company Name

Street Address 1

Street Address 2

Country, City, State/Province, Postal Code

Referred by

<%else%><%end if%>

ReferCode

<%else%><%end if%>

Main Contact's Name

Contact's Title

E-mail

Phone Number

Fax Number

Web Address


Industry and or Segment
Information Technology
SOFTWARE
INTERNET
HARDWARE
PERIPHERALS/SEMICONDUCTORS
WIRELESS/MOBILE
SERVICES
Internet
HEALTHCARE/PHARMACEUTICALS
DRUG
MEDICAL EQUIPMENT/DEVICES/SUPPLIES
SERVICES
Telecommunications/Wireless
TRANSPORTATION
Media
Biotech
NANOTECH
CONSUMER GOODS
ENERGY
Industrial
EQUIPMENT
MATERIALS
CHEMICALS
Others


What does your
company do?

What is its main value proposition?
0 / 50

What financing round are you in?
(i.e. Series A, B, C etc.)

Pre-Money Valuation: What is your company's current valuation? 

How are you deriving the valuation?

Projected Revenue:  What are your projected revenues for the next 3 years?

 Year 1: Year 2: Year 3:

Financial Model: How does your company generate revenue?
(i.e. internet sales, advertising, subscriptions, etc.)

Funding amount: How much capital are you seeking?

Use of funds: How would the capital be allocated?

Exit Strategy: When do you anticipate a liquidity event? What will be the exit method? (i.e. IPO, merger, put options, etc.)
Please copy and paste your executive summary below (2 pages maximum):

 

 

<%end if%>