BioTechX EU 2023 Start-Up Application

Start-Up Village Application
Full Name*

First NameLast Name
Job Title*
Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address*
Mobile Number*

Area CodePhone Number
Short description of your start-up*
What was the revenue of your company in 2022?
What was your latest round of funding? (Pre-Seed, Seed, Series A, etc)?
When was your company formed?
Should be Empty: