Form

The Lead Navy Header

L100Asset 3@3x

The Leading 100 List Nomination Form

Company name*

Company Website*

CEO(s)

Year Founded*

Annual Revenue*

This information is kept confidential

Number of Employees*

Funding Stage

Funding Amount

Innovation Category*

Investor(s)

Competitor(s)

Notable Customers

Maximum 5 customer examples

Main point of contact at the company (for notifications, follow up interviews, etc.)

First name*

Last name*

Title*

Email*

Phone number*

Seniority*