Company Member Interest Form
Thank you for your interest in supporting your local WWCode Community! Please fill out the information below to help us better understand your company information, interests, and other host details.

Once you have completed this form, we will reach out to you with more information about our hosting packages.

Your First Name *
Your answer
Your Last Name *
Your answer
Your Email Address *
Please remember to use your work email address
Your answer
Company Name *
Your answer
Company Address: Street Name *
e.g., 1234 Street Name, City, State
Your answer
Company Address: City
Your answer
Company Address: State
Your answer
Job Title *
Your answer
Can you provide food and beverages? *
As a general note, hosting usually involves providing venue space, food/beverage, and internet.
How many attendees can you accommodate? *
Please provide a range: e.g. 10 - 30, 30 - 50, 100+, etc.
Your answer
Which city are you located in? *
Topics of interest *
What are some event topics your team might be interested in hosting?
Required
Please list any other topics of interest here
Your answer
Is there anything else we should know?
e.g. event space details or other non event related comments
Your answer
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