BCTech4Industry Application Form

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* 1. Company Name:

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* 2. Company Website:

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* 3. Name (Primary Contact):

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* 4. Email (Primary Contact):

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* 5. Address:

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 6. Additional Contacts For:

C-Councils:

Speaking Engagements:

Newsletter:

Talent/Job Fair:

Job Board:

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* 7. Company Size:

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* 8. Which of the following best describes the principal industry of your organization?

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* 9. Business Description:

Share one sentence to help us understand your business and what problems your company solves for customers.

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* 10. Can you please tell us what you hope to gain by joining the BC Tech community?

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* 11. I understand that my participation in this program, including company name & logo, may be used in marketing materials to promote BCTech4Industry.

Yes, I understand