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<td class="text" colspan="4">*Denotes Required Field</td>
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<td class="text" colspan="4"><b>Company Information</b> </td>
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<td class="text" width="32%"> </td>
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<td class="text" width="18%"> </td>
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<td class="text" colspan="2"><b>Additional Information</b></td>
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<td class="text" width="22%">
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<td class="text" width="32%"> </td>
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<td class="text" colspan="2">
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<option>AK</option>
<option>AZ</option>
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<option>CA</option>
<option>CO</option>
<option>CT</option>
<option>DE</option>
<option>DC</option>
<option>FL</option>
<option>GA</option>
<option>HI</option>
<option>ID</option>
<option>IL</option>
<option>IN</option>
<option>IA</option>
<option>KS</option>
<option>KY</option>
<option>LA</option>
<option>ME</option>
<option>MD</option>
<option>MA</option>
<option>MI</option>
<option>MN</option>
<option>MS</option>
<option>MO</option>
<option>MT</option>
<option>NE</option>
<option>NV</option>
<option>NH</option>
<option>NJ</option>
<option>NM</option>
<option>NY</option>
<option>NC</option>
<option>ND</option>
<option>OH</option>
<option>OK</option>
<option>OR</option>
<option>PA</option>
<option>RI</option>
<option>SC</option>
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<option>TN</option>
<option>TX</option>
<option>UT</option>
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<option>VA</option>
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<option>WV</option>
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<td class="text" width="32%"> </td>
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<td class="text" colspan="2">
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<td class="text" width="22%">
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<option>February</option>
<option>March</option>
<option>April</option>
<option>May</option>
<option>June</option>
<option>July</option>
<option>August</option>
<option>September</option>
<option>October</option>
<option>November</option>
<option>December</option>
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<option>2002</option>
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<option>2004</option>
<option>2005</option>
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<td class="text" colspan="2"> Amount of Funding Required*</td>
<td class="text" colspan="2">
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<font size="1">(Omit dollar sign & commas.)</font></td>
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<tr>
<td class="text" colspan="2"> How Did You Hear About Us?* </td>
<td class="text" colspan="2">
<select name="ReferredBy">
<option selected>Select</option>
<option>Yahoo</option>
<option>Lycos</option>
<option>Excite</option>
<option>Snap</option>
<option>Go.com</option>
<option>GoTo.com</option>
<option>AltaVista</option>
<option>Google</option>
<option>Personal Reference</option>
<option>Trade Show</option>
<option>Other</option>
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<tr>
<td class="text" colspan="2"> Executive Summary </td>
<td class="text" colspan="2">
<input type="file" name="ESFile">
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<tr>
<td class="text" colspan="2"> Business Plan </td>
<td class="text" colspan="2">
<input type="file" name="BPFile">
</td>
</tr>
<tr>
<td class="text" colspan="4"><i>Note: uploading large files may take a couple
of minutes, especially over a slow connection.</i> </td>
</tr>
<tr>
<td class="text" colspan="4">Enter a brief description of what your company does
(Elevator Pitch -- 500 characters max.)*: </td>
</tr>
<tr>
<td class="text" colspan="4">
<textarea name="CompanyDescription" cols="60" rows="6"></textarea>
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<td class="text" colspan="4">
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<td colspan="2" align="center" width="593" class="greyfooter">117 S. Columbus St, Alexandria, VA 22314 · ph 703.836.6500 · fx 703.837.8821 · www.columbusventures.com</td>
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