Registration · Ad:Venture Business Support

General

How did you hear about AD:VENTURE?

Originating Event

Please provide more details here:

Your Contact Details (as Main Contact)

Title

First Name

Last Name

Email Address

Job Title

Telephone Number

Mobile Number

Position within Business

Your Business's Details

Business Name

Website URL

Stage of Business

Business Registration Date

Business Legal Classifcation

Business Trading Start Date (or proposed date)

Description of the nature of the Business

What percentage of business sales is Business to Business (B2B)?

please insert a whole number between 0 and 100

What percentage of business sales is Business to Consumer (B2C)?

please insert a whole number between 0 and 100

What percentage of B2C sales is outside West Yorkshire?

please insert a whole number between 0 and 100

Sector

SIC Code (if known or applicable)

If Other, please specify

Other Business Details

Number of FTE Employees

Annual Turnover (£)

Company Registration Number

HMRC Unique Tax Reference

Is your business VAT registered?

Is your business PAYE registered?

VAT Number

PAYE Number

Your Business's Main Trading Address

Street 1

Street 2

Street 3

Town/City

County

Postcode

Your Business's Ownership

Is your business owned by parent company?

If Yes, please state name of parent company

If Yes, please state what percentage is owned by parent company

Support Required

Briefly describe the type of support you require from the AD:VENTURE programme:

Subsidy Control

Have you received Subsidy Control (i.e. State Aid or Public Funds) in the last 3 years?

If Yes,then you will be asked to provide details on the next page after you submit this page.

Equality and Diversity Information (optional)

We want to better understand who we are engaging with and hearing from. Effective monitoring of diversity characteristics is a legal requirement under the 2010 Equality Act and by asking these questions we can make sure our work reflects the diverse communities we serve. These questions are optional. If you choose to answer these questions you will not be identified by the information provided.

What is your sex?

Is the gender you identify with, the same as your sex registered at birth?

How old are you?

What is your ethnicity?

Do you have any physical or mental health conditions or illnesses lasting or expected to last 12 months or more?

Do any of your conditions or illnesses reduce your ability to carry out day-to-day activities?

How would you describe your sexual orientation?

What is your religion or belief?

If your first language is not English, do you have a preferred language to speak and read in?

Marketing Permissions

We want to keep you updated about the support, grants, loans, workshops and events available to you through the programme and from other relevant business support organisations. We will never share your data with other parties outside of the AD:VENTURE programme. By selecting marketing permissions this allows us to share these opportunities with you. You can update your marketing permissions through your portal login at any time.

Permission Given: Email Marketing

No Yes

Please tick YES on email if you want to get info from us about the events and workshops that we put on for you, and sometimes about business support you might benefit from. We WILL NOT share your data with anyone or send you lots of spam!

Permission Given: Telephone Marketing

No Yes

Permission Given: Text Message Marketing

No Yes

Confirmation

Please click here to view the Terms and Conditions

I agree to the Terms and Conditions

I confirm details provided are correct

Submitted Date (prepopulated with today's date)