Please complete this form below to request an introduction to a legal partner to join the Scaleup Accelerator IP Program

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* 1. Name

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* 2. Title

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* 3. Phone Number: (Format xxx-xxx-xxxx)

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* 4. Company Name

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* 5. Legal Entity Name [if different from the above]

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* 6. Email Address

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* 7. Full Address

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* 8. Are you currently a BC Tech member? 

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* 9. Tell us about your company and your product/solution. (100 words)

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* 10. How many employees does your company have?

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* 11. How would you best describe your industry vertical?

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* 12. What business goal do you hope to achieve from participating in this program?

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* 13. Do you have any specific IP concerns/needs that you are hoping to address?

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* 14. Confirm that we can share your contact information with our legal partners

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* 15. Do you have a preferred legal firm?

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* 16. Do you have any other comments?

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* 17. How did you hear about this program?

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