Client Intake Form
This Client Intake Form was created to assist the VelocityTX team with collecting information about the clients joining the VelocityTX Innovation Center. This information will help us prepare for the initial meeting to discuss potential collaboration and assistance. Please take a few minutes to fill out the form.
Company Info
Company Official Name
*
Website URL
Contact Information
Name
*
First Name
Last Name
Title
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Headshots
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Please provide headshot for CEO/Primary contact and any team members participating in the program.
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Bio of CEO/Primary Contact:
Marketing/Communications Point of Contact
Name
First Name
Last Name
Title
Email
example@example.com
Phone Number
Please enter a valid phone number.
Company Social Media Profile Links
Facebook
Instagram
Twitter
LinkedIn
Other
Branding
Logo(s)
*
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Upload a high-res (300dpi) company logo in PNG format.
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Are EPS files of your logo available?
Yes
No
Not sure
Photos
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Please provide a minimum of 2 photos that shows your work in action. If you don't have a photo, the VelocityTX MarComm team may assist in taking a photo or you can choose a stock photo at freepik.com.
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Brand Guidelines
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If applicable, please provide your brand style guidelines.
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Messaging
Tell us about your company and its main products/services.
Describe the issue/problem that your company is trying to solve.
Describe the market for your product.
*
What are some of the next steps or accomplishments that your company is excited about?
*
Why did you decide to become a client of VelocityTX?
*
How did you learn about VelocityTX?
*
Word of Mouth
Facebook
Instagram
Twitter
LinkedIn
Search Engine
Other
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Should be Empty: