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Please e-mail this application with your Executive Summary to: The100K@Case.edu
1. Contact Information
Name:
Title: Company:* E-mail address: Address:
Phone:
2. In 50 words or less, please provide a non-confidential description of your company/business concept that would be suitable to publish on our web site, if selected:
3. Amount of funding to date, if any:
4. Source of funding to date, if any:
*Entrants are not required to have formally established a company prior to entering the competition. In this case a tentative or temporary company name can be utilized for registration.
Conditions of the Competition: Entrants that have received significant external funding (greater than $100K) are not eligible to enter the competition. The winning entrant may receive up to $100K. However, the Competition Organizers, in consultation with the Judging Panel, reserves the right, in their sole discretion, to withhold funding from all participants if none of the entrants are deemed to be suitable recipients. Furthermore, they reserve the right to utilize any and all criteria they deem necessary in determining the winners of the competition. This may include non-traditional characteristics, including, but not limited to, the relationship of the management team and the technology, the location of the company, etc. All federal/state/local taxes are the responsibility of the recipients. Start-up companies and individuals considering participation in the competition are encouraged to obtain their own professional advice regarding applicable securities and intellectual property laws. While it is not intended that information submitted to the competition will be made available to the public, it will be reviewed by sponsors and judges and thus confidentiality is not guaranteed. No proprietary information should be included which the participant would not want disclosed to potential investors/strategic alliance partners. Each entrant voluntarily releases all Competition Organizers, Representatives, Judges and Mentors from any liabilities, responsibilities and accountabilities arising from participation in Competition activities. The views of the Judges and the Competition Participants in no way reflect the views of Case Western Reserve University. Competition Management reserves the right to disqualify any entrant in violation of the Conditions for the Competition. Winning entrants consent to the use of their names for advertising and publicity purposes without additional compensation. By participating in the competition, I am acknowledging that I understand and accept these Conditions for the Competition. I agree to be bound by the decisions of the Judges and the Competition Management, which are final: Name: Date: Title: I would like to have my entry and summary forwarded to potential investors/venture capitalists: Name: Date: Title:
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