SECTION A: About You

The information collected below is for the purpose of providing statistical information to our respective funders, and is considered confidential. Complete all that is applicable.

Question Title

1. Name:

Question Title

2. Business or Organization Name:

Question Title

3. Email:

Question Title

4. I self identify as:

Question Title

5. What is your age group?

Question Title

6. Is your business a:

Question Title

7. Is your organization:

Question Title

8. What is the main activity of your business? (examples: catering, baking, reflexology, spa services, dog grooming etc.), please provide below:

Question Title

9. We would love to hear from you!

Tell us what do you want to see in our Enterprising Women Event 2016!!!

Comment/Suggestion:

T