application

American-Israel Chamber of Commerce Southeast Region AICCSE Connect AICCSE 1150 Lake Hearn Drive Suite 130 Atlanta, GA 30342 Phone: 404-843-9426 Fax: 404-843-1416 Aiccse@aiccse.org Dear Israeli Entrepreneur, The American-Israel Chamber of Commerce, Southeast Region (AICCSE) has been working closely with Israeli companies for several years, helping them connect with potential partners, customers, and investors in the Southeast U.S. More than simply making a connection between Israeli and American companies, AICCSE strives to bridge cultural gaps so that cooperation and partnerships have a better chance of succeeding. Please consider the following: · Israeli technologies tend to be sophisticated and advanced. · Americans with whom AICCSE has contact are typically more attentive when presented with concise information that describes a problem and its solution, rather than a technical overview. · Israeli companies often consider the sophistication of their technology to be the only driving force of interest from potential American partners and customers, giving less attention to important aspects of Marketing. This form was carefully designed to accumulate information that could make our job more efficient. Please complete the form with as much detail and relevance as needed. We will do our best to help you achieve your business goals.

Company Name:	*
Company Web Site:	*

Company Address:	Street1:	*
	Street2:
	Suite:
	City:	*
	Zip Code:
Contact Person 1:	Name:	*
	Title:	*
	Phone:	*
	Mobile:	*
	Fax:
	Email:	*
	Bio:
Contact Person 2:	Name:
	Title:
	Phone:
	Mobile:
	Fax:
	Email:
	Bio:

PLEASE INCLUDE CV OR BACKGROUND INFORMATION/BIO ON SENIOR MANAGEMENT TEAM
Company Description (500 word maximum):	*

Technology Description (250 words maximum per question)
Imagine walking into an elevator where you find yourself standing near a potential investor who knows nothing of your company, industry, or product. You have about 30 seconds to attract his/her attention to a point where he/she will agree to spend more time with you evaluating an investment in your company. Given the constraints, you have to focus on identifying a well-understood problem and describing your unique solution - one, which is worth investing in. Remember - the investor cares little about the technical aspect of your product - just how to make money off it. Therefore, you must use easily understood terms and exclude technical jargon. Follow these guidelines when providing the non-technical description below. Then proceed to write a technical description of your product - one, which would be evaluated by IT professionals. Note: if you are seeking investment, provide information you think is important to investors - how will they make money if they invest in your company?
Describe your Product/Service to a non-technical professional: (250 word maximum):	*
Describe your Product/Service to a technical professional: (250 word maximum):


Other Points (100 word maximum per questions):
Do you have a Business Plan (Y/N):	*
What year was your company established?	*

How many employees do you have?	In Israel:	*
	In the US:	*
	Elsewhere:

What is your Target Market?	*
What is the current status of your Product or Service (Stage, Release, Version)?	*

	When was your first Product Release?
	When is next expected Product Release?

What business stage are you in (in terms of investment, market penetration or installations, etc.)?
Why is your product or service needed (what problem does it solve)?	*
What is your competitive edge?	*
In what industry are you in (Software, Telecom, Life Science, Internet, Security, Other)?	*

If you are in the field of Security, what is your primary focus:	Clothing and Armor
	Communications, Computer & Information Systems
	Detection Systems (alarms, detectors, perimeter, sensors, etc.)
	Emergency and Rescue
	Professional & Training Services, including anti-terrorism training
	Protection (of materials, facilities, personnel, etc.)
	Surveillance systems (vision, mobile video,recording, robots, etc.)
	Vehicle & Accessories
	Weaponry
	Other Equipment
	Other Services

Patent Status (Y/N, Pending)?

*

	Where is your product patented - in the United States, in Israel or elsewhere?	*
	Who are your Patent Attorney's?

Do you currently have an attorney in the U.S.?	*
Who are your competitors?	*

Annual Revenue ($)	Overall ($)?	*
	In the U.S. alone ($)?

	2002	2003	2004	2005	2006
Revenue
Expense
Net Income

Who are you existing clients/strategic partners (please elaborate on structure of partnership)?	*
Who has already invested in your company - please provide name of Investor(s) and amount of investment for each?	*

What are your current priorities

Looking for Investment	Amount of money:

Looking for customers	Type and size of companies:	*
	Specific company names (in Atlanta, Southeast, and in U.S. in general):	*


Looking for a Beta site	Type and size of companies:	*
	Specific company names (in Atlanta, Southeast, and in U.S. in general):	*


Looking for other types of Strategic Partners	Types of Partnership:	*
	Type and Size of Companies:	*
	Specific company names (in Atlanta, Southeast, and in U.S. in general):	*


Other:
When might you be available for meetings in the U.S. (please give us at least one month to arrange meetings):	*
Additional Information:

NOTE: THIS INFORMATION WILL BE DISTRIBUTED TO A LARGE NUMBER OF PEOPLE. MAKE SURE YOU DO NOT INCLUDE INFORMATION THAT YOU WISH TO MAINTAIN CONFIDENTIAL. PLEASE NOTE: AICC is acting out of a desire to foster trade between Israel and the United States. Staff and other chamber members will make referrals but will not represent you or act on your behalf. The AICC does not warrant that they will dedicate any specific amount of time towards your endeavor. The AICC does not take responsibility for any referrals or dealings that result from their assistance. The AICC will attempt to identify potential conflicts of interest between Chamber members and your company, but assumes no responsibility should such conflict arise.


Web Design and Development by	Home \| About AICC \| Directory \| Newsletter \| Calendar \| Membership \| Resources \| Contact AICC \| Login