Form Test - RevUP Caribbean

First Name *

Last Name *

Street *

Gender *

State/Parish *

Personal Email *

City *

Personal Mobile *

Country *

Select a Country

Date of Birth of Founder *

Age of Founder *

Business Name *

Business Email *

Referred By *

Business Phone *

Business TRN/Tax ID

Personal TRN/SSN/Tax ID *

Business/Company Address *

Briefly describe the business, service or product *

Briefly state the problem; describe the pain that customers experience *

State how you will solve the problem and for who *

Company Stage *

Date Business Founded *

Form of Registration *

Industry *

Team: List the core group of talent and their positions that can execute on the next set of milestones *

Business Model: Explain how the business makes money. What is the revenue model? Pricing, Sales & distribution model? customer pipeline *

Customers – Current & Potential *

Who do you compete with, why do you have a better product or solution and how can you win. *

Target Market / Size *

Sales & Marketing Strategy *

Investments raised (non- grant in JMD): *

Monthly cash surplus or deficit (JMD) *

Current year revenue (JMD) *

Would you like to discuss a payment plan for the $350 USD? *

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