Participation instructions, including our toll-free number is given to you after you've filled out this form. Please ensure you print that page so that you have the instructions when it is time for you to call in.
When you register you will get a phone code that works for any dates and times so if you decide to change your session you do NOT need to notify us. simply call in on the alternate date and enter the same code.
Thank you and enjoy your session! Fields marked with an asterisk (*) are mandatory.This form works best with Internet Explorer.
Call TOLL-FREE from anywhere in BC. Times vary but sessions are always held on a TUESDAY and last ONE-HOUR, maximum.
*Please select the session you wish to atttend: May 22 2012 12:00PMMay 29 2012 10:00AM
Business Name (optional):
*Business Location (city/town): Please Select One 100 Mile House108 Mile Ranch150 Mile House70 Mile HouseAbbotsfordAgassizAinsworth HotspringsAiyanshAldergroveAlert BayAlexis CreekAlkali LakeAltonaAnahim LakeAnglemontAnmoreAnnacis IslandArgentaArmstrongArrasAshcroftAspen GroveAthalmereAtlinAvolaBaldonnelBalfourBamfieldBarkervilleBarriereBear LakeBeaverdaleBeaverdellBelcarraBella BellaBella CoolaBig LakeBlack CreekBlind BayBlind ChannelBlubber BayBlue RiverBoston BarBoswellBowen IslandBowserBrackendaleBrentwood BayBridevilleBridge LakeBriscoBrittania BeachBrookmereBuffalo CreekBuickBurnabyBurns LakeBurtonCache CreekCampbell IslandCampbell RiverCanal FlatsCanim LakeCanoeCanyonCassidyCastlegarCawstonCecil LakeCedarCedarvaleCelistaCentral SaanichCharlie LakeChaseChemainusChetwyndChilanko ForksChilliwackChristina LakeClayhurstClearbrookClearwaterClintonCloverdaleCoal HarbourCoalmontCobble HillColdstreamColwoodComoxCoombsCoquitlamCortes IslandCourtenayCowichan BayCranbrookCrawford BayCrescent SpurCrescent ValleyCrestonCroftonCultus LakeCumberlandCurzonD'ArcyDarfieldDawson CreekDawson LandingDease LakeDeltaDenman IslandDeRocheDesrocheDewdneyDog CreekDome CreekDouglas LakeDuncanDunsterEagle BayEagle CreekEarls CoveEdgewaterEdgewoodEgmontElkfordElkoEndakoEnderbyEricksonErringtonEsquimaltFairmount HotspringsFalklandFanny BayFarmingtonFauquierFernieFieldForest GroveFort FraserFort LangleyFort NelsonFort St. JamesFort St. JohnFort SteeleFrancois LakeFraser LakeFruitvaleFulfordGabriolaGaliano IslandGallowayGang RanchGarden BayGaribaldi HighlandsGenelleGermansen LandingGibsonsGilles BayGitanmaaxGitanyowGitseguklaGitwangakGitwinksihlwkGlen VowellGold RiverGoldbridgeGoldenGoodlowGrand ForksGranisleGranthams LandingGrasmereGray CreekGreenvilleGreenwoodGrindrodGroundbirchGulf IslandsHagensborgHagwilgetHalfmoon BayHancevilleHaneyHarrison Hot SpringsHarrison MillsHarrogateHartley BayHazeltonHedleyHefley CreekHeriot BayHixonHolbergHoneymoon BayHopeHornby IslandHorseflyHoustonHudson's HopeHuntingdonIax Kw'alaamsInvermereIskutJaffrayJoe Rich-EllisonJordan RiverJuskatlaKaledenKamloopsKasloKeats IslandKelownaKemanoKeremeosKimberleyKincolithKingcome InletKingsgateKispioxKitchenerKitimatKitimat VillageKitkatlaKitselasKitsumkalumKitwangaKleena KleeneKlemtuKnutsfordKoksilahKootenay BayKuper IslandKyuquotLac La HacheLac Le JeuneLadnerLadysmithLake CountryLake CowichanLake ErrockLakeview HeightsLangleyLantzvilleLasquetiLavingtonLazoLikelyLillooetLindell BeachLions BayListerLittle FortLogan LakeLone ButteLongworthLouis CreekLower NicolaLumbyLundLyttonMacKenzieMadeira ParkMahood FallsMalahatMalakwaMalkawaManning ParkManson CreekMansons LandingMaple BayMaple RidgeMaraMarysvilleMason's LandingMassetMatsquiMayne IslandMcBrideMcClureMcLeese LakeMcLeod LakeMeadow CreekMerrittMervilleMesachieMetchosinMeziadin LakeMica CreekMidwayMill BayMilnerMinstrel IslandMissionMoberly LakeMonte CreekMonte LakeMontneyMontroseMoricetownMount CurrieMount LehmanMoyieMuncho LakeNakuspNamuNanaimoNanoose BayNaramataNazkoNelsonNemiah ValleyNew AiyanshNew DenverNew HazeltonNew WestminsterNewtonNimpo LakeNorth BurnabyNorth CowichanNorth DeltaNorth HazeltonNorth PineNorth SaanichNorth ShuswapNorth SurreyNorth ThompsonNorth VancouverOak BayOcean FallsOkanagan CentreOkanagan FallsOliverOoona RiverOsoyoosOyamaOyamaPanoramaParksvilleParsonPavilionPeachlandPembertonPender IslandPennyPentictonPinanton LakePink MountainPitt MeadowsPort AlberniPort AlicePort ClementsPort CoquitlamPort EdwardPort HardyPort McNeillPort MellonPort MoodyPort NevillePort RenfrewPort SimpsonPouce CoupePowell RiverPrespatouPrince GeorgePrince RupertPrincetonPritchardProcterProgressProphet RiverQuadra IslandQualicum BeachQuathiaski CoveQuatsinoQueen Charlotte CityQueen Charlotte IslandsQuesnelQuilchenaRadium Hot SpringsRefuge CoveRevelstokeRichmondRiondelRiske CreekRivers InletRoberts CreekRobsonRock CreekRollaRose PrairieRosedaleRosslandRoystonRutlandSaanichSaanichtonSaanichtownSalmoSalmon ArmSalmon ValleySalt Spring IslandSaltery BaySanspitSardisSaturna IslandSavonaSaywardSecheltSeton PortageSewell InletShalalthShawnigan LakeSicamousSidneySilver Star MountainSilvertonSimoon SoundSinclair MillsSirdarSkidegateSkookumchukSlocanSlocan ParkSmithersSointulaSookeSorrentoSouth DeltaSouth HazeltonSouth SaanichSouth SlocanSouth SurreySouthbankSouthviewSpallumcheenSparwoodSpenses BridgeSpillimacheenSpuzzumSquamishStevestonStewartStuart IslandSullivan BaySummerlandSummit LakeSunset PrairieSurge NarrowsSurreyTa Ta CreekTahsisTakla LandingTakysie LakeTappenTatla LakeTatlayoko LakeTaylorTelegraph CreekTelegraph CroveTelkwaTerraceTexada IslandThetis IslandThornhillTiellToad RiverTofinoTomslakeTopleyTrailTsawassenTulameenTumbler RidgeTwo MileUclueletUnion BayUpper FraserValemountVallicanVan AndaVanandaVancouverVanderhoofVavenbyVernonVictoriaWaglislaWalachinWardnerWareWarfieldWasaWellsWest VancouverWestbankWestbridgeWestholmeWestwoldWhaletonWhalleyWhistlerWhite RockWhonnockWilliams LakeWillow RiverWindermereWinfieldWinlawWinter HarbourWonowonWossWynndelYahkYaleYarrowYmirYoubouZeballos
How long have you been in business? since / (Enter as MM/YYYY)
When do you need financing by: // (Enter as DD/MM/YYYY)
*First Name:
*Last Name:
*Primary E-mail:
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*Contact Telephone: -- (Enter as xxx-xxx-xxxx)
For statistical purposes (optional): We want to make sure we are serving all women, regardless of ethnicity. Please indicate if you are: Aboriginal Immigrant
We want to make sure we are serving women of all ages. Please indicate your age: under 35 35 – 44 45 – 54 55 +
*Add my e-mail address to the Women's Enterprise Centre Newsletter list to receive the monthly newsletter and small business updates? Yes No
*How did you hear about Women's Enterprise Centre? - Select - Advertising An event (e.g. seminar, workshop, tradeshow.) Chamber of Commerce Community Futures Referral from government service Women in Business Network Women's Enterprise Centre Website Word of mouth Other
WOMEN’S ENTERPRISE CENTRE
ACKNOWLEDGMENT AND RELEASE
1. I/We hereby acknowledge that I/we have been advised by Women’s Enterprise Centre (“WEC”) as follows:
a. WEC is not in the business of providing professional financial or legal advice but does provide information, support and encouragement for women in business.
b. WEC has strongly urged me/us to seek financial and legal advice from professional financial and legal advisors.
c. WEC does offer lending services which are distinct, separate and apart from the support and information counselling provided by WEC. No information or documents provided by WEC in its capacity of providing support and information counselling shall bind or obligate WEC in any way with respect to providing financing.
2. In consideration of the information, support and encouragement for women in business as provided by WEC to me/us, I/we hereby release WEC and agree to hold WEC harmless and indemnify WEC from any and all liability for any loss, damages or expenses which I/we may suffer or incur as a result of the provision by WEC of information, support and encouragement to me/us, including any breach of contract or negligence on the part of WEC 3. This Acknowledgment and Release shall be effective against and binding upon my/our heirs, executors, administrators, successors, assigns, officers, employees and agents. 4. This Acknowledgment and Release shall enure to the benefit of WEC, its successors, officers, employees and agents and any related entity or government agency.
*I have read and agree with the Acknowledgment and Release:
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