Company Name*
Is the company trading?*
Main Contact First Name*
Main Contact Last Name*
Phone Number*
Email Address*
Confirm Email Address*
Address Line 1*
Address Line 2
Post Code*
Company Website
Preferred Language for communication*
Please provide an overview\Description of the business (Max 1000 characters)*
Please provide details of the support required in order to grow the business (Max 1000 characters)*
How did you hear about Social Business Wales?*
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We will only process your data in order to deliver the services you’ve requested from us, report to our funders and evaluate our effectiveness. Once you have submitted this form we will email you a copy of our privacy notice, or you can read it [here].  
Please tell us if we can also contact you for the purposes outlined below:
Can Cwmpas contact you by post, telephone, email or text in order to tell you about other Cwmpas activities that may be of interest to you?
Contact from Cwmpas?*
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We may be able to get you additional support from Business Wales; can we share this form with colleagues from Business Wales and ask them to contact you?
Contact from Business Wales?*