F3 Fish Oil Challenge Registration Form Complete this form to register for the Challenge.Dear Registrant,We assume that you are an innovator, may be in various stages of product development, and may require months before your F3oil product is market-ready. By registering for the Challenge, you are only indicating the intent of your organization to participate. We designed the Challenge timeline to correspond to the product development process of a typical company: 1. Registration for the Challenge is open for 8 months to allow time for approvals within larger companies.2. A product sample is not due until November 30, 2018 (14 months after registration opens) to allow time for product development to occur. We also assume that it will take time to develop partnerships and collaborations to compete, so this date is also the deadline for partnership announcements.3. Product sales reporting will begin January 2019 and end September 2019 to allow time for scaling of production and training of distribution channels. By registering, you agree to abide by the contest rules here. If at any time you decline to proceed to the next phase, we will assume you have decided to drop participation. There is no penalty for not continuing (other than losing out on guts and glory) but please notify us by sending an email to email@example.com.If you have any questions about registration, please do not hesitate to contact us.Best Regards, F3 TeamRequired InformationThe following fields must be completed as part of your registration.Company Name*Company Website* Please add the following contact information for the primary contact person at your company.Name* First Last Title*Work Address (for mailing purposes)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Work Phone Number*Cell Phone Number*Email* Note that by participating, you implicitly assent to mention of your company’s participation in the Challenge. Please provide the following contact information for the person at your company that can respond to Challenge-related media inquiries. If you are in partnership with other companies, only one media contact is required.Media Contact Name* First Last Title*Work Phone Number*Email* Are you registering in partnership with other companies for development and/or sales purposes?*YesNoNote that we allow for time to register partnerships with other companies participating in the challenge. Please send the following information for each partner to firstname.lastname@example.org before 11:59:59 p.m. PT on November 30, 2018: (1) the name of company and website (2) the name, title, address, work phone number, mobile phone number, and email address of the contact person at the company, and include (3) a brief description of the partnership (4) a description of the partner company’s sales territoryHow did you hear about the Challenge?*Optional InformationThe following fields are optional to complete. Any provided information will be posted on your team’s profile page. Note that this information is helpful for publicity.Company LogoAccepted file types: jpg, png, pdf.Please provide a short description of your company.Please provide any details you would like to share about the product that you are developing for the Challenge.Are you looking for partners to join your company to compete as a team in the Challenge?YesNoAre you looking for product development partners, sales partners, or both?Product Development PartnersSales PartnersBothWould you like your partnership interests to be published on your profile page?YesNoWhat year was your company founded?Approximately how many people are employed by your company?In what country is your company headquartered?What types of products does your company currently produce?In what countries does your company currently distribute its products?What is the approximate annual revenue of your company in USD?Do you have an environmental statement/mission that your company wants to make explicit?How does this challenge fit with your company’s mission/goals?Challenge RulesPlease review the contest rules here.* I have read the Challenge Rules and agree to abide by them.