Initiate Startup Program Intake Form

Initiate Startup Program Application

Thank you for your interest in the Initiate Startup Program at DISTRIBUTECH 2025 in Dallas, Texas. Please fill out the form below to be considered to participate in the program.

* Company Name

* Company Website

* Company Description

This should be a short paragraph that describes your company and technology. This will be published on the website if accepted to participate.

* Founding Date

* Number of Employees

Company Address

Building Name

* Street Line 1

Street Line 2

Town/City

State/Province

* Zip Code

* Country

Who are your target customer(s)? Please be specific.

We are working on a speed dating model at Initiate so please be as specific as possible with companies you would be interested in meeting with.

* What is your technology?

* Please specify

* What is the current stage of your company?

* Is your company currently generating revenue?

* Funding Received

This will not be shared with anyone outside of Clarion Events. It is only to evaluate the stage of your company.

* Is you company associated with an incubator or accelerator? If so, who?

* Company Logo

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This will be added to the website if approved.

Pitch Deck (optional, should be uploaded as a PDF)

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This will only be used to evaluate your company internally and will not be shared with others outside of Clarion Events.

* Submitter Name

* Submitter Job Title

* Submitter Email

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Initiate Startup Program Intake Form