Company name :
Website :
Main clean technology sector :
CEO's name :
Email address :
Headquarter address :
Year founded :
Answering which market pain / problem solved :
Product/Process/Technology description (Max 150 words) :
Innovation (Max 250 words) :
Environmental impact of your technology and reduction of GHG emissions in Quebec and internationally (Max 250 words) :
Target market (Max 150 words) :
Competitors (Max 150 words) :
Targeted strategic partners (Max 150 words) :
IP protection (Patents, Trade secrets/know how, Trademarks, Industrial designs, Copyrights, Contracts) (Max 150 words) :
Achievement (main one) :
Next milestones :
How can Ecofuel assist you to meet your business objectives? Tell us what your needs are (Max 250 words) :
Do you have revenues? If so, how much in the last year? :
How are you going to make money (Max 150 words) :
Actual investor names/amount :
Investments required over 2 years :
Use of proceeds (Max 150 words) :
Team members names, title & emails :
Board members / Advisors names :
How did you hear about Ecofuel :
Are you available 2 days per week for 4 months, physically or via video conference : YesNo
Name of the team member(s) that will participate to the program :