EREWASH PARTNERSHIP BUSINESS DIRECTORY PROFORMA

ORGANISATION DETAILS – these will appear in the Directory. Please use your mouse or tab key to navigate through the form.
Organisation Name: 
Address: 
Post Code: 
Telephone:
Fax:
Web Site:
Business E-mail:
Link to Partnership site?
Yes No   (please click on appropriate option)
Type of Organisation:
Activities:
(Please describe your products / services / activities in no more than 20 words)
Contacts:
Contact 1:
Position:
Contact 2:
Position:
Contact 3:
Position:
Discounts available to fellow Associates?
Yes No   (please click on appropriate option)
OTHER DETAILS – please provide the following, and indicate whether you would like this to appear in the Directory:

To appear in Directory?
Yes No   (please click on appropriate option)

Mobile telephone no?
Yes No   (please click on appropriate option)

E-mail?
Yes No   (please click on appropriate option)

How many employees do you have?
FURTHER INFORMATION - Would you like the Partnership to contact you about any of the following (please click all that apply):

Business Advice:
Training Opportunities:
Business Networking:
Mail shots to Associates:
Marketing Opportunities:
Funding

Are there other ways in which you feel the Partnership could assist your organisation? (Please outline using the space below.

Would you like me or one of my team to visit you and provide an update on our activities – and at the same time learn more about your organisation?
Yes No   (please click on appropriate option)