Name of Company
If you're a local-to-Birmingham tech startup, please fill out this form so that local potential users will be able to find you on the Birmingham Bound website!
Sign in to Google to save your progress. Learn more
Email *
Title of your company
Website, App Name, or both
Who is your primary customer?
Brief description of the product/services you provide
To learn more about your offerings, who should someone reach out to?
Are you a product or service?
Clear selection
What would a company search to find your solution?
Name, email, & title of individual filling out this form
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Birmingham Bound. Report Abuse