Thank you for your interest in working with Miller Gold. Miller Gold is a hybrid venture capital and investment banking firm providing a comprehensive approach from initial funding through exit on multiple markets around the world. Miller Gold invests in early-stage growth consumer products and services companies that change people's lives. Please complete the form below to help us assess whether your start-up is a good fit for Miller Gold.

Referred by (Name)

Were you referred by a Miller Gold partner, or any other person?

Referred by (Website, Search engine, etc.)

Were you referred by a website, search engine or other source?

Your Name *

Your Company's Name *

When was the company formed? *

Phone Number *

Email Address *

Skype ID

State or Country *

Website *

Please include the "www." Form will not accept "https" sites. Please use only "http".

Industry *

Products or Services *

How does your product or service change people's lives? *

Your Competitors *

Your Uniqueness / competitive advantage *

Who is your main competition? How are you better?

Current investment need & round *

What will these funds be used for?

How much have you raised to date? *

What have you accomplished with the funds invested to date? *

Describe your revenue model *

Detailed revenue for last 12 months. *

Please give us a clear picture of the company's recent revenues.

Use of current cash / Monthly income & expenses *

What's your burn rate?

Team / Domain Expertise *

Please share your team's prior challenges and successes.

Traction *

How big is your base? How fast is it growing?

Pitch / Why it could be great *

Insert elevator pitch here.

Additional links / info

Is there anything you would like us to take a look at, or share with us?

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