Wichita Entrepreneurship and Innovation Series Enrollment Form
The following information is being collected as part of your interest in enrolling in the Wichita Entrepreneurship and Innovation Series. The series is now scheduled to occur virtually August 3, September 1, September 8, October 5 and November 5 from 6 p.m.-8 p.m. CST For any questions, please contact: Christina Long at christina@cmlcollective.com, who serves on the series planning team.
Email address *
Your First Name *
Your Last Name *
Company Name: *
Brief description of services: *
Company Mailing Address (Street Number, Street Name) *
City *
State *
Company Zip Code *
Company telephone number: *
Company website address, if applicable
Social media handle(s), if any
What year was your company established?
What are you hoping to gain from this training experience? *
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