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Chucktown Startups - Capital Connectors

Communication Preference Form

Thank you for expressing your interest in the Chucktown Startups community. This form ensures that we share your interest with our founder community according to your stated preferences.

What level of visibility would you like within the community?

What level of visibility would you like within the community?
A
B
C

What types of capital funding sources does your firm offer?

What types of capital funding sources does your firm offer?

Are you interested in providing educational programming around your capital funding sources to the community?

Are you interested in providing educational programming around your capital funding sources to the community?
A
B

Contact Information

Firm Name

Firm Email

Firm Phone Number

Firm Website Address

Contact Person Name

Contact Person Email

Contact Person Phone Number

Description of Firm and Services

LinkedIn Accounts to Tag & Publicize

Please share any additional information on how Chucktown Startups can help you achieve your business goals