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Internet Grant Application Form

Purpose:To help foster start up technology ventures by offering free internet services for up to six months.

Eligibility:Venture must be less than one year old, have less than $250,000.00 in annual revenues and headquartered in Cleveland or Columbus Ohio.

Grant Description:
1 T1 of Internet Access (1.54Mb).
Free Pre-Configured Cisco Router.
/29 Public IP Addresses (5 usable).

Must be submitted by 6/30/2010

Please fill out the required fields to be considered for this grant.

*Business Name
*Business Type
*Contact Name
*Address
*City/State/Zip
*Business Phone
Alternate Phone
*Contact Email
*Business EIN

* Describe your product offering and why you believe there will be a demand for your products or services.

* What will make your venture successful vs. what other organizations in your industry are doing? Why would someone choose your firm over the competition?

* What are the long term goals for your venture?

* Please provide a brief history of each principle of your venture?

* Indicates a required field.