VICC Registration Survey

Thank you for your interest in the Vaughan International Commercialization Centre (VICC).

Please fill out this short survey to register your interest, and we will contact you directly.

Contact information

Question Title

* 1. Contact information

Name

Company

Address

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Description of service/product:

Question Title

* 2. Description of service/product:

Total sales for last fiscal year:

Question Title

* 3. Total sales for last fiscal year:

< $1 million

$1 - $5 million

$5 - $10 million

$10 - $50 million

> $50 million

N/A

I want to provide and/or receive in-market support for:

Question Title

* 4. I want to provide and/or receive in-market support for:

	Provide	Receive
Test site access: technology verification and/or commercial verification, product demonstration, localizing a new technology	Test site access: technology verification and/or commercial verification, product demonstration, localizing a new technology Provide	Test site access: technology verification and/or commercial verification, product demonstration, localizing a new technology Receive
Office space: sharing resources, collaboration	Office space: sharing resources, collaboration Provide	Office space: sharing resources, collaboration Receive
Exploring new markets: investment assistance, mentorship, matchmaking, professional services, information sessions	Exploring new markets: investment assistance, mentorship, matchmaking, professional services, information sessions Provide	Exploring new markets: investment assistance, mentorship, matchmaking, professional services, information sessions Receive

Other (please specify)

I am interested in receiving communications from:

Question Title

* 5. I am interested in receiving communications from:

Vaughan International Commercialization Centre (VICC)

Economic Development Department, City of Vaughan

Vaughan Business Enterprise Centre (VBEC)

Please provide additional comments:

Thank you for your interest in the Vaughan International Commercialization Centre (VICC). Please fill out this short survey to register your interest, and we will contact you directly.

Question Title

* 1. Contact information

Question Title

* 2. Description of service/product:

Question Title

* 3. Total sales for last fiscal year:

Question Title

* 4. I want to provide and/or receive in-market support for:

Question Title

* 5. I am interested in receiving communications from:

Question Title

* 6. Please provide additional comments:

Thank you for your interest in the Vaughan International Commercialization Centre (VICC).

Please fill out this short survey to register your interest, and we will contact you directly.