This document provides guidance for startups on key account sales. It recommends evaluating and accessing relevant prospects, shaping the first customer meeting and purchase order, and expanding the relationship to get more orders. The speaker has broad experience growing profitable key account sales globally. Effective key account strategies involve researching customers and decision makers, identifying early adopters, developing a solid value proposition, investing in demonstrators, listening to customers, focusing on legal terms of contracts, using a sales funnel, planning account penetration, and following the buy decision journey. Maintaining relationships and not burning bridges with key accounts is also advised.