Company Name

Last Name

First Name

Position/role in company

Email

Phone

Location of the site (country, state and city)

Are you seeking to licence our technology?

How many sites do you plan to build?

Do you currently own / have access to land for the site?

What size of the wavepool area?

Is funding in place/readily available?

Type of facility you wish to build

How did you hear about us?

Please provide any other relevant comments