| Title* |
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| Firstname* |
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| Surname* |
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| Company Name* |
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| Address 1* |
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| Address 2 |
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| Address 3 |
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| City |
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| County |
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| Postcode* |
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| Business Telephone* |
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| Business Fax |
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| Business Email* |
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| Which of the following best describes your job title?* |
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| Other (please specify) |
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| If you are not the CEO, please state the name of your CEO |
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| What level of turnover growth did your company achieve in the last financial year?* |
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| What is your company's annual turnover?* |
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| How many people are employed at your company?* |
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| What sector does your business operate in? |
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| Please tick the boxes if you are considering any of the following |
Listing your company on AIM, PLUS or the London Stock Exchange in the next 3 years
Selling you company in the next 2-3 years
Raising equity finance in the next 3 years
Taking part in a management buyout in the next 3 years
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| Do you act as an adviser to AIM-quoted companies in any of the following areas? |
Nominated adviser
Accountant
Solicitor
Corporate financier
AIM broker
Financial public relations consultants
M&A specialist
None of the above
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| Would you be interested in attending events with like-minded entrepreneurs covering the specific business issues you have highlighted? |
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| Would you like to receive a free subscription to M&A; magazine?* |
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| Would you like to receive a free subscription to our sister publication Business XL magazine?* |
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| To aid us in independently auditing our readership please enter your month of birth* |
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| I would like to receive carefully selected emails from Vitesse Media's third party partners |
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| I would like to receive carefully selected direct mail from Vitesse Media's third party partners |
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| I would like to receive carefully selected telephone calls from Vitesse Media's third party partners |
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