Business Service Referral Form from Cheryll Wagner

Name(Required)

First Last

Phone(Required)

Email(Required)

Business Name(Required)

City(Required)

How can we assist you?(Required)

Use this area to provide us with more information

For statistical purposes

We want to make sure we are serving all women, regardless of ethnicity or age.

Please indicate if you are…(Required)

Immigrant

Indigenous

Person with disability

Youth (under 30)

None of the Above

If you are an immigrant, please indicate how many years you have been a permanent resident of Canada.(Required)

Age

How long have you been in business?(Required)

Pre-Startup – I have not started my business yet

Startup – In business less than two years

Growth – In business two years or more

Would you like to receive

Please note that you may update your subscription preferences at any time through the WeBC website.

eNews – 9x per year publication filled with information and announcements of events relevant to women entrepreneurs and small business owners.

eBlasts – targeted emails with information on upcoming events of interest to entrepreneurs and small business owners in your area. Frequency of these emails varies throughout the year.

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