Submission Form If your product satisfies our criteria listed above please complete the Submission Form below.
*Required
* I have read and agree with the Terms and Conditions listed in the Dreamstart Submission Agreement Form and the Dreamstart Non-Confidential Agreement Form
Download Printable Submission Agreement Form (PDF) Download Printable Non-Confidential Submission Agreement Form (PDF)
Product Category (Check as many as apply) Automotive Aftermarket Household Cleaning Household Appliances Lawn & Garden Food and Beverage Personal Care (Health & Beauty) Electronics Office Supply Toys and Games Other Product description (provide short detail)
What is the stage of your product? Conceptual? Design phase completed? Prototype completed?
Infomercial Infomercial or short form produced? (If checked, date produced) (i.e., 11/11/02) Length of commercial 60 120 1/2 Hour other Tested? (If checked, date tested) (i.e., 11/11/02) Please describe test results Is the infomercial currently running? Yes No How much is being spent each week on media time? under $50,000 $50,000 - 100,000 $100,000 - 250,000 $250,000 - 500,000 $500,000 & over
Production In production? (If checked, monthly capacity)
Distribution In distribution? (If checked, US or International?) Advertising completed? (If checked, type of advertising) Sold in retail stores?
Funding Request How much money are you seeking? under $50,000 $50,000 - 100,000 $100,000 - 250,000 $250,000 - 500,000 $500,000 & over
How will the money be utilized? (Total should equal 100%) Inventory % Advertising Production % Molds/Tooling % Receivables funding % Plant and Equipment % Product Design % Other % Do you own the rights to the product? Yes No
Intellectual Property US Patents Pending Registered None International Patent Status Pending Registered None Trademarks Pending Registered None Countries Patents Registered
