South East Business Boost
Expression of interest
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Name
First Name
Last Name
Job Title
Phone Number
Please enter a valid phone number.
Email
example@example.com
What is the legal trading status of your business
Sole Trader/Partnership
Limited Company
Limited Liability Partnership
CIC
Registered Business Name
As registered at Companies House
Trading As Name
T/As
Trading Address
Street Address
Street Address Line 2
Town
County
Postal Code
Website
Have you been trading less than 12months?
Please Select
Yes
No
You may qualify for a start up grant
Number of Employees
Industry Sector
Provide a brief description of your business growth plans
Please select the type of support you require
One to One Advice
Workshop
Grant
Workshop title if known
List some of the items you intend to purchase with this grant
Grant amount you will be seeking
Estimated amount you are seeking from us. Not the total project cost
When do you plan to complete this project?
Do you have a preferred Adviser
Please Select
Jim Gorrie
Paul Hayes
Phil Pilgrim
Sally Marshall
Tim Sheppard
Tracey Ann McRobert
No preference
How did you hear about us
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