Your Name
*
First Name
Last Name
Your Phone Number
*
Your Email
*
example@example.com
Your WhatsApp
NSpired - Project Submission
Project Name
*
Project Category?
*
Humanitarian
For Profit
Combo Humanitarian/For Profit
FUNDS REQUESTED
*
Draw 1
*
Draw 2
*
Draw 3
*
Draw 4
*
Draw 5
*
Draw 6
*
Primary Jobs Generated by Project
*
Secondary Jobs Generated by Project
*
FUNDS REQUESTED X 20.3 = _____ X .000001 = Secondary jobs total
Your Investment to date
Potential Pending Orders
Challenge that initiated your Project
*
Solution your Project will bring
*
Market Size
*
5 year Goal of Market
*
Potential Monthly Profit to Self-Sustain Project
*
Will You Commit to 10% Going to BOMA?
*
10% of Monthly Profit
Prototype?
*
YES
NO
Independent Tests Completed?
*
YES
NO
UL Approval?
*
YES
NO
Currently in Production?
*
YES
NO
Logo?
*
YES
NO
Project Website URL
Executive Summary? required to submit project
*
YES
NO
Uses of Funds Statement? required to submit project
*
YES
NO
Intellectual Property Protected by?
*
Copy-Right
Trademark
Patent Pending
Patent Issued
Blockchain
Not Applicable
Project Overview
*
Upload Executive Summary
*
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Upload Uses of Funds Statement
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