VC Working Group Opportunity Submission Form

Instructions Please complete the below form. Your information will be emailed to one or more of the above individuals at your request. Upon review of your submitted information and reply acceptance, the Digital ID World VC Working Group will be available to review your business opportunity in person at the Digital ID World 2002 Conference taking place in Denver Colorado from October 9th through October 11th.

Do not submit confidential information.

Contact Information
First Name*	Last Name*
E-mail*	Day Phone*

Company Information
Company*	Title*
URL*	City, State* ,
Date Founded*	Amount of Financing Required*
Stage* Concept Product Development Initial Marketing Revenue Profitable Turn-Around - Restart	Number of Employees* 1-5 6-10 11-20 21-50 50-100 100+
Product or Services (Summary Only - 1000 chars max)
Business Model (Important - Please Provide Sufficient Detail)
Management and Board of Directors (Sumary Only - 1000 chars max)
Financing History (Summary - 1000 chars max)

Submission Instructions
Please Submit this information to... The Entire VC Working Group Alex Tosheff of St. Paul Allen Weinberg of Glenbrook Brad Feld of Mobius Dave Chen of OVP Gus Tai of Trinity Rick Patch of Sequel Shawn Luetchens of Saffron Hill Walter Knapp of Cambridge	I plan to attend Digital ID World 2002: Yes No
	I would like to present to this group while at the conference: Yes No

Do not submit confidential information.
Please be patient, a response can take up to 48 hours. If one or more of the individuals in the Digital ID World VC Working Group are interested in pursuing a discussion with you, they will contact you directly via email or phone according to the contact information you entered above. The Top 5 candidates will be allowed an opportunity to present at the Digital ID World 2002 conference. Notification of your successful selection into the top 5 can take several days. If you are selected to present at the conference, you must be a registered attendee. Note that attendance at the conference is limited to 500, first come, first serve.

*Required Field