Your email address*
 
 
First name*
 
 
Last name*
 
 
Job title*
 
 
Phone number*
 
 
Name of your company*
 
 
When was your business created?*
 
 
Where is the HQ of your company located? (city, country)*
 
 
Number of employees*
 
 
Website
 
 
What is your industry?*
 
 

What are your specialties (check all that apply)? *

 
Specialty 1*
 
 
Specialty 2
 
 
Specialty 3
 
 
Short description of your solution/product*
 
 
If you are an early-stage startup, do you already have clients for your service/product?*
 
Yes
No
 
Total funds raised by your company (in €):
 
 
Do you have plans to expand to Europe in*
 
 
Besides France, what other country are you considering?*
 
 
What type of business activities are you considering?*
 
 
How many people do you plan on hiring in France in the next 3 years?
 
 
What are your immediate business needs? (Select as many as you like)*
 
 
 
 
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