Use this form to apply for an office in the Groundswell Coworking Space.
Thanks for your interest in joining.

What's your full name? *

And what's your email address? *

This will be our prefered method of contacting you.
Current Address *

We'll only keep it on file when you officially become a member.
Does your company have a name?  What is it?

Your telephone number? *

Describe each member of your team and their expertise. *

What's the state of your current product or service? *

What market research have you done? What is the approximate size of your current target market (Regional, National). *

How do you plan to sell the product or service? *

Will you be raising angel or venture capital in the next 6 months? *

Do you have a legal entity? *

Does your team have an experience starting a company in the past? *

If yes, please provide us some company links or let us know how we can find out more about them.
Is the team (founders and key employees) working on this full time? *

What is the long-term vision for your business? *

What size office are you interested in? *

Thank you for your interest!

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