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R42 Company Submission Form

If you would like to submit your company to be considered for investment, please complete the form below.
 

Otherwise, If you have some queries please fill the form here

Company Name*

Company Location*

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City

Country

Website*

Name of Founder/Co-Founder - 1*

First 

Last

LinkedIn Profile of Founder/Co-Founder - 1*

Name of Founder/Co-Founder - 2

First 

Last

LinkedIn Profile of Founder/Co-Founder - 2

Describe your company (including what problem you are working on and what the solution is)*

Is there a prototype available?*

If this is a product - is it available for shipping?

What is the highest level of education in your management team? *

Founder/Co-Founders serial entrepreneur/s? *

How long has the team worked together?*

Do you have any patents?*

If yes - number of patents filed

If yes - number of patents granted

Do you have any customers?*

If yes - number of customers

Is the company generating revenue?*

If yes - monthly revenue ($)

Does your business model have a recurring revenue component? *

What is the current P&L?*

How much are you raising ($)?*

What is the current valuation of the company ($)?*

What is the current fundraising stage of the company?*

What help does the company need (in general and from R42)?

How did you hear about R42?*

Contact Name

First

Last

Email*

Phone

Please upload you pitch deck here

Your data has been submitted