2017 Top 100 Global: Standard Entry

By completing this form you agree that Red Herring can utilize your submission data as part of the 2017 Top 100 judging process. It will remain 100% confidential as always. Prior to qualifying you for the final round, Red Herring will contact you and your team to receive an update on the company’s most recent achievements

Finalist and Winners from the regional Red Herring 100 events are invited to compete for the Top 100 Global. You must have been selected as a finalist or winner to be eligible

What Region did you Compete for a Top 100?*
- North America
- Asia
- Europe
Please specify which regional competion you took part in. Only one may be selected
What year did you compete in the regional Top 100?*
Company Name*
Salutation*
CEO Name*
First Last
Job Title*
CEO Email*
CEO Phone*
Please do NOT use "+" symbol when entering phone number
Global HQ Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website*
CEO Proflie*
Assistant's Name
First Last
Assistant's Phone
Please do NOT use "+" symbol when entering phone number
Assistant's Email
Board of Directors*
Name Company

One name per row only. Please use "+" symbol to add to add an additional row.
Company Overview*
Please provide an overview of your company/technology
Sector*
Please select ONE category only
Number of Patents Owned*
Year Founded*
Number of Employees*
What Problem Does Your Technology Solve?*
Business Model*
How do you make money?
How do you sell?*
Main Competitors*

One name per row only. Please use "+" symbol to add to add an additional row.
Primary Advantage Over Competitors*
Tier 1 Customers*

One name per row only. Please use "+" symbol to add to add an additional row.
Total Funding Received (In USD equivalent)*
Number format please
Total Rounds of Funding*
Number format please
Investors Information*
Investing Firm Amount

One name per row only. Please use "+" symbol to add to add an additional row. Please use "N/A" in each field if you do not wish to disclose.
2014 Revenues (In USD)*

Number format please
2015 Revenues*

Number format please
2016 Estimated Revenues (in USD)
2015 EBITDA (In USD)*

Number format please
2016 Estimated EBITDA (In USD)
Company's Biggest Achievement in Last 12 Months*
Company's Biggest Challenge Moving Forward*
Why Should You be a Top 100?*
Submitter's Name*
First Last

Please enter name of person who completed the submission
Submitter's Company Name*
Submitter's Email*
Enter Email Confirm Email
Submitter's Phone*

AdTech
Clean Tech
Consumer Electronics
Energy
Entertainment & Media
Banking/M&A
Big Data
Cloud
FinTech
Gaming
Hardware
Internet/Web
Life Sciences/Biotech
Medical Devices
Mobile
Pharma
Private Equity
Professional Services
Security
Social Media
Software
Telecommunications
Venture Capital/Investing
Other

Name	Company

Investing Firm	Amount