Name

Email Address

Phone number

Business Name (if applicable)

Where are you based in West Yorkshire? (Which Local Authority area do you come under?) Where are you based in West Yorkshire? (Which Local Authority area do you come under?) Bradford Calderdale Kirklees Leeds Wakefield

Postcode

I am/we are: I am/we are: An individual or group of people with an alternative business idea A new or established alternative business a business advisor working in the public sector

I am/we are interested in: I am/we are interested in: Enterprise coaching Social Venture School Growth & Resilience Programme Alternative Business Model workshops Something else

Consent Consent Please tick to confirm that you’re happy for the information you’ve given to be shared with the BFGWY partners and funders as relevant.