DEMO: The Launchpad for Emerging Technology

Demonstrator Application

Please complete the Demonstrator Application form below in its entirety. This information is considered confidential and received by the DEMO conference under an implied Non-Disclosure Agreement. Information is provided for the sole purpose of consideration for participation in the DEMO conference, unless otherwise explicitly stated by the submitting company.

Please note that the demonstrator fee does not include travel and accommodations. For more information about the DEMO Value Proposition, click here.

All fields required.

I would like to launch at:	DEMOfall 08, September 2008DEMO 09, March 2009
Company Name:
Address:
Address 2:
City:
State:
Zip/Postal:
Country:	(select a country)United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic RepublicCook IslandsCosta RicaCote d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench S. TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard, Mc Donald IslandsVatican City StateHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, DPRKorea, Republic ofKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent, GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaS. Georgia, S. Sandwich Is.SpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard, Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States MOIUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe
Phone:
Fax:
Web site:
Company Background:
Founders/Corporate Officers: (names and titles):
CEO:
Funding:
Product Name:
Product Description:	(50 word description of product you intend to launch at a DEMO conference)
Market Opportunity
Target Launch Date:
Competitors:
Key contact for DEMO
FirstName:
Last Name:
Title:
Company:
Address:
Address 2:
City:
State:
Zip/Postal:
Country:	(select a country)United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegowinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, Democratic RepublicCook IslandsCosta RicaCote d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench S. TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard, Mc Donald IslandsVatican City StateHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, DPRKorea, Republic ofKuwaitKyrgyzstanLaoLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint Kitts and NevisSaint LuciaSaint Vincent, GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSeychellesSierra LeoneSingaporeSlovakia (Slovak Republic)SloveniaSolomon IslandsSomaliaSouth AfricaS. Georgia, S. Sandwich Is.SpainSri LankaSt. HelenaSt. Pierre and MiquelonSudanSurinameSvalbard, Jan Mayen IslandsSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States MOIUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and Futuna IslandsWestern SaharaYemenYugoslaviaZambiaZimbabwe
Phone:
Email:
How did you hear about us?	Select One...Public Relations Society of AmericaNational Venture Capital AssociationPast AttendeePast DemonstratorMy PR person recommended the eventFunding UniverseSearch engine (note site in "other" below)I read an article about DEMOOther (fill in below)
If other:
	Send

• April 2008
  Call for demonstrators
• June 1, 2008
  Final application deadline
• July 18, 2008
  Company selections final
• August 1, 2008
  Conference program complete
• August 11- 22, 2008
  Demonstrator pre-conference meetings
• September 5, 2008
  Demonstrators announced by DEMO
• September 6-7, 2008
  Demonstrator load in and rehearsals
• September 7-9, 2008
  DEMOfall 08
  Sheraton San Diego Hotel & Marina
  San Diego, California

*Subject to change

• September 15, 2008
  Call for demonstrators
  
• December 1, 2008
  Final application deadline
  
• January 9, 2009
  Company selections final
  
• January 23, 2009
  Conference program complete
  
• February 2-13, 2009
  Demonstrator pre-conference meetings
  
• February 27, 2009
  Demonstrators announced by DEMO
  
• March 1-2, 2009
  Demonstrator load in and rehearsals
  
• March 1-3, 2009
  DEMO 09
  Desert Springs, A JW Marriott Resort & Spa
  Palm Desert, CA

*Subject to change