Entrepreneur Application

To be considered for potential investment, entrepreneurs must first complete and submit the online application. Confirmation of receipt will be sent to applicants once the process is complete.  Applications will not be reviewed until a $100 non-refundable processing fee has been mailed to Midwest Venture Alliance 7829 E. Rockhill St., Suite 307 Wichita, KS 67206

Name
Phone
Email
Address
City
State
Zip Code
Company Name
Website
Social Media
Management Team
Year Founded
Annualized Revenue
Industry
NAICS Code
D&B Number
Funding Received to Date
Amount of Funding Sought
Current Investors
Use of Funds
Referred By
Do you need help in any of the following areas?
Business Plan Consulting
Market Validation and Research
Competitive Analysis
Assistance in Locating and Accessing Financing
Sales and Marketing Strategy Development
Business Plan Consulting
General Management, Operations, and Accounting Assistance
Public Relations and Promotion
SBIR/STTR Consulting
Executive Summary or Business Plan
Attach File

(Microsoft Word, Microsoft PowerPoint, or PDF)
Attach Logo

(jpg or gif)


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