Focus Group Sign Up Form Energous & WiGL WiGL Reg CF Investors will receive highest preference. The top 25 people to sign up will be invited to participate. Name(Required) First Last Email(Required) Enter Email Confirm Email City(Required) State(Required) Are you a WiGL Reg CF Investor(Required) Yes No Are you a WiGL Reg A+ Investor(Required) Yes No DisclaimerWiGL Inc reserves the right to modify, add, delete or change participants and/or the focus group at anytime or for any reason and at its sole discretion. Participating is strictly voluntary and not compensated. All participants will be asked to sign a non-disclosure agreement, prior to the start of the focus group or groups. CommentsPlease let us know what's on your mind. Have a question for us? Ask away.PhoneThis field is for validation purposes and should be left unchanged.