Entrepreneur Exchange Participant Form
Application to participate in an online Entrepreneur Exchange.
Full Name *
Phone *
Mailing Address *
City/Town *
Postal Code *
Email *
(so we can promote you)
(so we can promote you)
(so we can follow you)
Facebook Page
(so we can like you)
Tell us about yourself and your idea(s) *
Please answer the following questions. This information will be used to provide background and help match you with the right expertise. (Please check all that apply)
Please provide a brief description of your topic of conversation or question for The Entrepreneur Exchange (your idea, issue or need): *
What stage is your idea at? (Check one) *
What stage is your business organization at? (Check, if applicable)
Clear selection
What is the type of business or organization? *
How knowledgeable are you in these areas? *
Very knowledgeable
Somewhat knowledgeable
Not knowledgeable
Financial Management
Product Development
Succession Planning
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