Beta Client Questionnaire

Shoobx Beta Client Questionnaire

* 1. Tell us a little about you:

Your name:

Your email address:

Your title/position:

* 2. Who are you?

I am an entrepreneur

I am an investor

I am legal counsel

Other

Tell us about your interest in Shoobx:

* 3. Please tell us a little bit more about your company:

Your company name:

Company URL:

Brief sentence about your business:

* 4. Your company location:

City:

State:                      -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming                  

Country:

* 5. How did you hear about us?

DEMO

SVB Innovators Toolkit

Techstars

Harvard Innovation Lab

HBS Rock Center

MIT $100K

MassChallenge

TiE Boston

WeWork

Other (please specify)

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