Application Form

We hope you’ve enjoyed this glimpse into The Entrepreneurial Exchange.

If you would like to join, please use our online application form below to submit your details for consideration.

Personal Details

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Title

First Name

Last Name

Sex

Date of Birth

Email Address

Phone No

Mobile No

Fax No

Your Business Title

Full Company Name

Your Company Address

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Company Street Address

Company Address Town/City

Company Address Region

Company Address Country

Company Address Postcode

Check this box if you have a separate postal address.

Your Postal Address

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Postal Address Name

Postal Street Address

Postal Address Town/City

Postal Address Region

Postal Address Country

Postal Address Postcode

Company Details

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Company Website Address

Main Company Activities(e.g Software Development, Web Development, Design, Consultancy, Training Support)

Industry Sector

Principal Products(e.g Customer Relationship Management (CRM) solutions, eCommerce solutions, Bespoke Software Development)

In what year did your company start trading?(enter 4 digit year e.g '1975')

Current Number of Employees in Company

Current Annual Turnover(in pounds)

Projected Employees in next year

Projected Turnover in next year(in pounds)

Do you hold equity in this business?

Is your company family owned?

Were you the founder?

How do you see your business developing over the next 2 years?

Please supply two business references:(Name, Address, Email and Phone)

Reference 2

How did you hear about the Entrepreneurial Exchange?

How do you hope to benefit from membership of the Entrepreneurial Exchange?

Registered in Scotland. Company registration number SC 160976.
The Entrepreneurial Exchange Ltd. 94 Hope Street, Glasgow, G2 6PH. Developed by Mercurytide

Application Form

Personal Details

Your Company Address

Your Postal Address

Company Details

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