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Account

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Title

First Name *

Last Name *

Telephone

Mobile Number

Job Title

Company Details

Business Name *

Tell us about your business *

Description and background of the company and your main business activities.

Trading Address

Address *

Town/City *

Postcode *

Company Telephone *

Mobile Telephone *

Website Address *

Must start with https:// or http://

URL *

Company Registration Number *

If you are a sole trader please enter your UTR

Ownership / Company Type *

Sole Trader

Partnership

Private Limited

Charity

PLC

Other

Where did you hear about Alphas? *

Where did you hear other?

If you selected "Other" for the previous question, please can you say where you heard about this scheme from?

What help do you need? *

Number of Employees *

Annual Revenue *

To the nearest thousand (do not enter any commas)

£

Further Details

Does your organisation have a Balance Sheet value below €43 million?

N/A

No

Yes

Is more than 25% of your organisation owned by an enterprise that in itself is not an SME?

N/A

No

Yes

Compliance Checks

Do you have a sustainability policy?

Do you have an equality and diversity policy?

Data Protection Agreement *

I agree to the data protection terms.

Personal Information

Gender *

Male

Female

Do you consider yourself to have a disability? *

No

Yes

Prefer not to say

Age *

Ethnicity *

CAPTCHA

Are you human?

What colour is a lemon? *

Fill in the blank.

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