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Workshop Registration Form for Vereeniging
First Name:
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Surname:
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ID Number:
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Age:
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Gender:
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Male
Female
Cell Number:
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Email Address:
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Confirm Email Address:
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Where did you hear about Pitch & Polish?:
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Newspaper Advert
Newspaper Article
Radio Advert
Radio Interview
SMS
Email
Friend told you
Poster
Flyer
Organisation
Other
If other, please specify:
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Which organisation?
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Which town / area do you live in?:
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Which of the following most apply to you?:
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I have an existing business
I have a business idea
I would like to have my own business but don't yet have an idea
Other
What is the core function of your business?
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What is your business idea?
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Please specify:
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Kindly indicate your preferences below:
Nedbank may contact me regarding the variety of small business offerings they have available
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Engen Petroleum may contact me should my business / idea align with their supply chain requirements
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Yes, please notify me of any future entrepreneurial focused events
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Yes, Raizcorp may contact me regarding offerings they have for entrepreneurs in my area
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Yes, the local partners may contact me regarding the support they offer
Click here to the read the workshop terms and conditions
Kindly confirm:
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Yes, I have read the terms and conditions