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I. Participant Information
Contact Person
Name
*
Title
*
Email Address
*
Phone Number
*
Business Name:
*
Business Address
Street
*
City
*
State
*
Zipcode
*
Councilmanic District Number:
II. Business Information
Industry Type:
*
Accounting/ Finance/Legal Services
Building and Construction
Building Maintenance/ Pest Control
Childcare/Daycare (Adult, Child, Senior Living)
Cleaning/Janitorial
Computing and IT
Consulting
Electrical/ Electronics
Environmental Technology and Services
Financial Services/ Investments
Food and Hospitality
Healthcare
Home Improvement
Manufacturing
Marketing
Professional Services
Real Estate and Property Management
Recruiting and Training
Retail
Telecommunications
Transport
Other
N/A
What is the current size of your business? (Choose One Option)
*
Sole Proprietorship
1-20 Employees
21-100 Employees
100+ Employees
Other (please specify)______________
-
What is the current annual revenue of your business? (Choose One Option)
*
$0 - $10K
$10K - $50K
$50K - $250K
$250K - $500K
$500K - $2M
$2M+
N/A
N/A
Submit Payment
EmpowerHer Global Business Summit
*
General Admission ($120.00 + $8.40 Processing Fee)