* denotes required fields
Company:*
City:*
Zip/Postal Code:*
Phone:*
CEO:*
Market Segment:* Select Segment Application Software Communications/Telephony Development Platforms/Tools Hardware Platforms IT Infra. & Networking Internet Media Mobile Operating Environment Verticals
Number of Employees:* Select Number of Employees 1-5 6-10 11-20 21-50 51-100 101-200 >200
Street Address:*
State/Province:
Country:* Select Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Coote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Islands Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea GuineaBissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau SAR Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda St. Kitts and Nevis St. Lucia Samoa San Marino Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Viet Nam Virgin Islands (British) Virgin Islands Wallis and Futuna Yemen Yugoslavia Zambia Zimbabwe
Fax:
Founding Month: Select Month January February March April May June July August September October November December
Founding Year:* Select Year 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Company Website URL:*
(Example: http://www.guidewiregroup.com)
Company Logo URL:
(Example: http://www.guidewiregroup.com/logo_120x90.gif. Note that without your logo url, Innovate!Europe will not be able to link to your site)
Founders/Corporate Officers:*
(names and titles)
Company Background:*
(Tell us how the company got its start. Why did you develop this technology? Please use 250 words or less)
Funding:*
(Please provide the latest round raised- Seed, Series A etc.-the total amount you've raised, and the name(s) of firms or people who invested.)
Product Name:*
Target Launch/Ship Date: (if you have already launched your product, when? mm/yyyy)
Product Description:*
(Tell us what it does, for what kind of customers. Please also tell us a bit about its underlying technology platform, e.g. is it built on proprietary or open source technology, and from what company? 250 words or less)
Business Model:*
(How are you making money? What are your sources of revenue?)
Target Market:*
(Who is your primary customer? And how large is the market you're targeting?)
Competitors:*
(What companies offer a competitive product, either directly or indirectly)
Who is the lead contact for discussing your application?
First Name:*
Title:*
Relationship to Applicant:* Select One Advisor Analyst Assistant Board Member Consultant Customer Employee Investor Journalist Partner PR Firm Self Vendor
Last Name:*
E-mail:*
Mobile Phone:
Who, if anyone, referred you to Guidewire Group?
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I hereby confirm Innovate!Europe has my company's permission to share our information with Innovate!Europe staff, partners, sponsors and participants.*
I would like to receive periodic updates from Guidewire Group.
