Innovation Hub Application Form 2017

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* 1. Company and Contact information

Company Name

Companies House Registration no (if applicable):

Registered Address

Address Line 2

City/Town

Postal Code

Primary Contact Name

Primary Contact Email Address

Primary Contact Phone Number

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* 2. Invoice address if different from above - for £500+VAT per pod hire

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* 3. Company size; Turnover and Employees

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* 4. Description of what your company could offer the network providers:

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* 5. A brief description of what you would like to showcase on the stand (for your information pod work surface space will be approximately 450x800mm)

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* 6. Your ask – what do you want to get out of the event? (For example: this could help you make connections):