In addition to strategy and business services, Assemblize seeks to provide early stage businesses with capital when appropriate. If you are currently seeking early stage capital for the purpose of launching or growing you business, please complete the application by provide us with some accurate details about your business and funding needs.

Note: Assemblize does NOT charge applicants any fees for access to capital. When the opportunity is appropriate, we will accept equity (up to 5%) in exchange for the services we provide.

Please provide the following information:

Name *
I acknowledge that I have read, understand and agree to the terms and conditions of this application.