Full Name

Phone *

Email *

Address *

Street Address

City

State

Country

Postal Code

By checking this box, I consent to receive non-marketing text messages from [BUSINESS NAME] about [USE_CASE_FROM_CAMPAIGN_DESCRIPTION]. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

Business Name or Working Title

Business Type or Industry

Current Stage

Pre-launch concept - Launching within 6 months

Launching within 6 to 12 months

Launching within 12 to 24 months

Already operating

Business Start Date/Anticipated Start Date *

Is your business legally registered on Sunbiz.org? *

Yes

Why should we select you for Launch 180? *

Describe your business: what you offer, how it works, who it serves *

Who is your target customer? *

Why does Jacksonville need this business? *

Tell us your story. Why are you the right person to build this? *

Are you a sole founder, or do you have co-founders or partners? If, please provide details here. *

Previous business or relevant experience *

Estimated total launch budget *

What runway gaps would Launch 180 specifically fill? Be specific. *

Have you secured any funding, investment, or savings toward launch? *

What have you completed so far in your launch preparation? *

What is still left to do before you can open? *

I confirm the information is accurate. I understand Launch Jax may share my application with partners involved in the selection process, and that submitting does not guarantee selection. *

Clear