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* 1. Contact Name

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* 2. Contact Email Address

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* 3. Contact Telephone Number

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* 4. Please name the organisation/contact who referred you to Peer Networks.

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* 9. Business Name

We only require one of the following 3 questions (Company Registration Number, HMRC VAT Number and HMRC Employers PAYE Reference Number

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* 10. Company Registration Number (CRN)

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* 11. HMRC VAT Number

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* 12. HMRC Employers PAYE Reference Number

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* 13. Number of Full Time Employees in Staffordshire

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* 14. Total Full Time Employees in the whole company

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* 15. Turnover (£) - latest year available

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* 16. Full trading address of local business' office receiving support

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* 17. Postcode of local business' office receiving support

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* 19. Date business started trading

Date

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* 20. Standard Industrial Classification Code relating to primary business activity

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* 21. The information you provide is collected by Staffordshire Chambers of Commerce and will be shared with our funders at Department for Business, Energy, Industrial Strategy and Stoke-on-Trent and Staffordshire Local Enterprise Partnership. 

The information you provide will be used to monitor impact of the project and to meet funding requirements in line with GDPR legislation. Your data will only be stored for as long as necessary. This data will also be shared with appointed facilitators for the programme but will not be shared with any other individual or third parties.

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