Aging2.0 Startup Submission

Please fill out this form to submit your company into the Aging2.0 Startup Database.

Aging2.0 will use this this information to better understand your startup and to connect you with opportunities across our network.

All information will be shared with Aging2.0, our Chapters and our corporate partners where relevant, so please do not include confidential information.

Please contact info@aging2.com with any questions.
Do you have an innovation that is focused on Patient Safety and engagement - specifically medication safety and adherence?
Do you have an innovation that addresses one or more of the following areas? Select all that apply.
- First Name
- Last Name
- Job title
- E-mail
- Phone Number
- LinkedIn URL
- Company name
- Company website
- Street Address
- City
- State / Province
- Company Zip / Post Code
- Country
- Company description (25 word maximum)
- Company Logo
  
  Browse Files
  High res logo. .jpg, jpeg, .png, .eps. Note .eps preferred Cancelof
- What stage is your company?
- What stage is your company?
  Please choose the most relevant category above.
- Please upload an Executive Summary
  
  Browse Files
  
  Cancelof
- Link to pitch deck / executive summary
  Optional: Link to e.g. Dropbox / Google Drive / Slides / PPT file etc
- Link to Video
  Optional. E.g. YouTube, Vimeo.
- Technology used (pick up to 3):
  
  Other
- Technology used (pick up to 3):
  
  Other
- Tags / keywords
- Target customer
- Channel / business model
- Competition (Who are your main competitors?)
- US market status
- Capital Raised (USD)
- Annual Revenues (USD)
- Strategic priority (max 2:)
  
  Other
- How did you hear about Aging2.0?
- If you were referred by an Aging2.0 partner organization, please specify the organization name here:
- Thank you for your submission.
- Should be Empty: