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.

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1. Name:

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2. Business or Organization Name:

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3. Email:

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4. I self identify as:

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6. Is your business a:

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7. Is your organization:

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

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9. We would love to hear from you!

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

Comment/Suggestion:

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