Form

We want everyone to have the chance to join us at CIX! Our subsidized ticket program is here to make the event more accessible for startup founders who need a little extra support. If cost is a barrier, fill out this quick form and let us know how we can help.

How It Works:

Apply by March 14th. Subsidized tickets are limited, and we’ll do our best to support as many people as possible.
We review applications as they come in and will get back to you via email.
Your information stays private.

Full Name*

Email*

Name of your Startup*

What impact would attending CIX have on your business?:*

Elevate is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:

I agree to receive other communications from Elevate.

In order to provide you the content requested, we need to store and process your personal data. If you consent to us storing your personal data for this purpose, please tick the checkbox below.

I agree to allow Elevate to store and process my personal data.*

You may unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy.