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 pwisv@cn.ibm.com.

Eligibility for IBM SmartCamp event application:

Your business must be an early stage company, privately held, and not more than five years old.
Your business and product or service must be beyond the concept stage.

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:

City:

State or province: *

Postal or zip code:

Country:

Telephone number: *

Fax number:

Job title:

Company and solution information

Company name: *

Company website URL: *

Are you an IBM Global Entrepreneur participant? *Yes
No
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.

Event information

Select an event: *

How did you hear about this IBM SmartCamp event? *Advertisement
IBM contact
Personal contact
Web site
Other

If you selected other, specify how you heard about the event in the box below.

Terms and conditions

If you are selected to attend an IBM SmartCamp event, your company must be:
- A participant in the IBM Global Entrepreneur initiative
- A member in good standing in the PartnerWorld program
- Actively engaged in developing a software-based product or service
- Aligned with the IBM strategy
- Privately held
- In business for less than five years
Companies that are authorized to resell IBM products or services are not eligible to apply for this event.
IBM funding for these events is limited and IBM reserves the right to cancel the events at any time. Terms and conditions are subject to change.

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.

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