Company Name*
Website
Company Address (Israel)*
Other Address (non-Israel)
Contact Person*
Your Industry Sector*
Stage
Number of Employees
Company Description (Non-Technical)*
Who is Your Competition?
Investment in the Company
Describe the Introductions Sought*
Additional Information and Comments

PLEASE NOTE: conexx is acting out of a desire to foster trade between Israel and the United States. Staff and other conexx members will make referrals but will not represent you or act on your behalf. conexx does not warrant that they will dedicate any specific amount of time towards your endeavor. conexx does not take responsibility for any referrals or dealings that result from their assistance. conexx will attempt to identify potential conflicts of interest between conexx members and your company, but assumes no responsibility should such conflict arise.