NCET Entrepreneur Expo
Registration Form

Las Vegas February 19, 2010
South Point Hotel Casino Spa

Free to Attend
Exhibit Floor Open - 11am - 6pm
Speaker Sessions - 9am - 11am & 1pm - 3pm

 *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. If you don't own your own business, 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 youFemale Male
Age
Are you a Veteran?Yes No
Racial /Ethnic Identity (Optional)