NCET Entrepreneur and
Small Business Expo

	*Denotes required field
*First Name
*Last Name
*Email
Address
Address 2
City
State
*Zip
Phone
Did you attend last year's Entrepreneur Expo?	Yes No
At the 2010 Entrepreneur Expo, will you:	Visit the exhibit floor Attend the education sessions Both
Business Information
1. Do you currently own your own business?	Yes No (If you answered No, skip to #8)
2. Business name
3. Year started
4. Type of Business
5. How many employees do you have?
6. What is your company's annual revenue? (Optional)
7. Company Website

8. Do you plan to start your own business?	Within the next 6 months Within the next year Within the next 2 years
9. How did you learn of the Entrepreneur Expo?	Email Website Newspaper Radio Television Flyer Friend/Colleague Other

Please help us understand who is attending the Entrepreneur Expo
Are you	Female Male
Age
Are you a Veteran?	Yes No
Racial /Ethnic Identity (Optional)

Business Information