Application for participation in an event
Complete this form and click the submit button to request participation in an IBM SmartCamp event. If you have questions about this application form, contact email@example.com.
Eligibility for IBM SmartCamp event application:
The fields indicated with an asterisk (*) are required to complete this transaction; other fields are optional. If you do not want to provide us with the required information, please use the "Back" button on your browser to return to the previous page, or close the window or browser session that is displaying this page.
First name: *
Last name or surname: *
Email address: *
Address line 1: *
Address line 2:
State or province: *
Postal or zip code:
Country:Select your country
Telephone number: *
Company name: *
Company website URL: *
Are you an IBM Global Entrepreneur participant? *
I am not sure
Company blog URL:
Company Twitter account:
Company LinkedIn profile URL:
Select the year your company was founded. *
Provide a brief description of your company. *
Provide a brief description of your solution and the problem it addresses. *
Provide a brief description of your senior management team. *
How do you envision working with IBM? Describe your joint value proposition. *
Describe your revenue and business model. *
Describe your customer traction.
Select an event: *
Select a location30 Oct 2014 - Tel Aviv - Israel - SmartCamp
How did you hear about this IBM SmartCamp event? *
If you selected other, specify how you heard about the event in the box below.
By submitting this form, you affirm that all the information entered above is accurate and correct. You further affirm that you are authorized to bind your company and comply with the terms of this initiative. You will be notified by IBM about the status of your application through email notifications.
Note: Select your country of residence and enter the characters shown in the image before clicking the Submit button.
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