| Title*
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| Other (please specify)
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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
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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
Making an acquisition in the next 2-3 years
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| Do you act as an adviser to AIM-quoted companies in any of the following areas?
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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 Business XL magazine?*
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| Would you prefer to receive a print or digital copy of Business XL?*
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Ipad/Iphone app
Print
Digital
Print & Digital
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you were born in, or the country if this was not within the UK*
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