NYNMA Programs

Technology Winners Circle Application

Company Criteria
To qualify for enrollment in NYNMA's Technology Winners Circle (TWC), your company should meet the following criteria:

Be headquartered locally in NY tri-state area
Be in business for at least 3 years
Have at least $3 million in annual revenue
Have achieved revenue growth of at least 20% from 2001 to 2002
Have between 10-100 employees

If selected, there is a one-time fee of $3,500 for all members of the Technology Winners Circle. Payment is due upon notification of acceptance. Participation in the TWC is valid for twelve months.

To apply, please provide the following information: (All information is required)

Contact Information
(Please Note: Contact Person must be a member of Senior Management)

First Name:

Last Name:

Title:

Telephone:

Fax:

Email Address:

Company Information

Company Name:

Headquarters Address:

Address Cont.:

City:

State:

ZIP/Postal Code:

Company URL:

Industry Category:

Year Founded:

Number of Employees:

Company Description:
(Approx. 100 words)

Financial History:

Investors:

	2000	2001	2002	2003 (Projected)
Revenue:	$	$	$	$
EBITDA:	$	$	$	$