Client Registration

Are you working fulltime on this business?	select yes no
How many FTEs are working on this business?
Legal Formation	select Not yet formed Sole Proprietorship Partnership LLC S Corp C Corp Non-Profit Other
Where was the business legally formed?
Stage of Business:	select Concept Product Development Product Release Early Revenue Expansion
Business Plan Status:	select None Early Draft Needs Work Complete

What do you sell?
To whom?
Average revenue per customer in 3 years:
Projected total customers in three years:
Total projected revenue in 3 years:
What value does your product provide to your customer?
Why should the customer buy from you?
What is your competitive advantage?	select Quality Features Performance Lower Price Service Other

Product/Service
Intellectual Property
Marketing Analysis
Sales & Marketing
Management Team
Advisory Board
Board of Directors
Funding
Financial Projections
Other

Which CleanLaunch Programs are of interest to you? One-time Business Plan Review Strategic Consulting Engagement Business viability, strategy, and plan development Accessing CleanSpark expertise in specific market or industry Financing Short-term four (4) month duration (please pick) Ongoing long-term duration (please pick) Other Raising Angel Funding Hiring Resources Alternative compensation Finding resources Office Space
What is your goal in entering into a relationship with CleanLaunch?
How did you hear about us?
Do you have any referrals that we should know about?

Please send us a 2-3 page Executive Summary of your business.

We accept resumes in .doc or .pdf format.