Accelerated Venture Partners

If you are in need of funding, or considering going public through a reverse merger with a clean SEC reporting public shell, please fill out the form below, and we will contact you to discuss ways we can help you to achieve your company’s goals.

Accelerated Venture Partners
951 Mariners Island Boulevard, Suite 300
San Mateo, CA 94404

Phone: (650) 378-1232
Fax: (650) 378-1399

Company Name: Address:	City, State, Zip Code: Country:
Phone (including area code):	Fax number (including area code):
Your full name: Position:	E-mail address: Website URL:

Management Team:

Industry:	Year Founded:
Type of Entity:	Pre-funding Value:
Funding Needed:

Use of Funds:

Business Description (Elevator Pitch):

Company Background

What does your product and /or service do:

What is the problem you are trying to solve:

What are the alternatives that people use now to solve this problem:

What makes your product different:

Marketing, Sales and Customers

What are your projected revenues in current year? In years 2-5?

How many Customers of this product and or service does your company have now and how many do you expect to have in 3 years?
and in 5 years ?:

How are you going to get those customers:

Competition

Who are your primary competitors and who is your key competitive position:

Exit Strategy

What is your Exit Strategy? If acquisition, who do you think the likely acquirers will be:

Team