ICA Capital Inquiry Form
CONTACT INFO
First Name
Last Name
Title
E-mail
Preferred Phone #
COMPANY INFO
Company Name
Website
Company Social Media Accounts
Legal Structure
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Benefit Corporation
C-Corp
LLC
Partnership
S-Corp
Sole Proprietorship
Other
Industry
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Advanced Manufacturing
Agriculture
Apparel
Architecture
Arts & Entertainment
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Bars, Restaurants, Catering
Beauty & Personal Care
Business Services
Cannabis
Construction
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Distribution & Logistics
Education
Energy
Engineering
Environmental
Financial Services
Food and Beverage - CPG
Food and Beverage - Food Service
Government
Healthcare
Hospitality
Insurance
Legal
Manufacturing
Marketing & Communications
Multimedia & Publishing
Non Profit
Other
Personal Services
Real Estate
Recreation
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Transportation
Travel & Aviation
Utilities
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Brief Description of Business
City of Operation
County of Operation
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Alameda
Contra Costa
Marin
Napa
San Francisco
San Mateo
Santa Clara
Solano
Sonoma
Other
Please specify County:
ICA Programming Alumni
Yes
No
INQUIRY INFO
Inquiry Type
Equity
Debt
Brief Explanation of Need (Use of Funds)
Capital Need Timeline
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0-3 Months
3-6 Months
6-9 Months
9-12 Months
Annual Revenue
Pre-Money Valuation (if applicable)
Prior Investors
No Prior Investment / Self-Funded
Friends & Family
Crowdfunding
Angel Investors
VC's / Institutions
ICA Fund
Pitch Deck / Data Room
How did you find out about us?
Event
Friend / Relative / Colleague
ICA Alumni / Portfolio Company
ICA Staff
Instagram
LinkedIn
News Publication
Website
Other
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Contact Information