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First Name Last Name Email Address Phone Number Your Linkedin URL Your Title —Please choose an option—FounderCo-FounderCEOCOOCMOCTOCSOCFOCPO Which SmartUp Programs Or Events Have You Attended? (Choose all that apply) Foundations March 24 Workshop July 2025 Foundations Dec 25 Workshop June 2026 Foundations Oct 26 Angels Roundtable (investors only) Networking Event

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Company Name Company Website Company LinkedIn What Are You Building? (1–2 sentences: what it is and who it's for) Company Industry Funding Stage —Please choose an option—Pre-seedSeedOption SeedAB+ Product Stage —Please choose an option—IdeaMVPProductSellingPOCCeased to operateActiveSoldOther How Many Paying Customers Do You Have? What's Your Biggest Challenge Right Now? —Please choose an option—Finding the right customersClosing salesPricingGetting to profitabilityBuilding the productTeam and hiringOther What Percentage of Time Do You Spend Working On Your Startup? —Please choose an option—Under 50% of the time50%-80% of the time80%-100% of the time What Are Your Main Goals For The SmartUp Advanced Course? How Did You Hear About The Advanced Course? I understand the Advanced Course tuition is ₪3,000 and that admission is subject to review I have read and accept the Terms & Conditions of the course I agree to receive marketing emails *Tuition ₪3,000 · Admission is subject to review