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Company Name

Company Owners

Date Company Started

Company Website

Contact Person Name

Contact Person Email

Contact Person Phone

Type of Organization

Early Stage Start Up

Less Than 3 Years Old

Unique Local Business

If you are a unique local business, please select one

For-Profit

Non-Profit

Organizational Phase

Concept

MVP/Launched

Growth

Self-Sustaining

Describe your company

How is your business unique?

What do you hope to gain from presenting at Cup of Joe?

Who recommended you to Cup of Joe (if applicable)?

Verification

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