Biz in a Box Dragons’ Den Pitching Competition

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Personal Information

Name*

First Last

ID Number*

Attach ID copy to verify age eligibility*

Max. file size: 5 MB.

Age*

Please enter a number from 1 to 100.

Gender

Race

Phone Number*

Email Address

Residential Address*

Business Name

Business Type

Physical Business Address*

Years in Operation

Do you have a valid trading permit?

Are you renting the business premises?

If Yes, Upload Lease Agreement*

Max. file size: 5 MB.

Brief Description of Your Business*

Why should your business be selected to pitch?*

Please contact me to keep me informed about this event*