FINANCIAL FUTURE SUMMIT APPLY FOR A TICKET Entrepreneur Gqeberha Thursday, 23rd May 8h30-15h00 "*" indicates required fields 112233 Name First Last Email* Cell-phone*Name of Business* Sector How did you find out about the summit?*Chaya LegalNelson Mandela Business ChamberLinkedinE-mailGoogleWhatsapp GroupFacebook GroupReferralOther Annual Turnover*R 0< R 1 million< R 3 million< R 5 million< R 10 million> R 10 millionFor existing businessWhich bank are you using for the business?*African BankAlbarakaABSABidvestCapitecDiscovery BankFirst National BankInvestecNedbankRand Merchant BankStandard BankSasfinTyme BankOtherDo you have an accountant?*YesNoWhich accounting software are you using?*NoneExcel spreadsheet (no software)Bank provided accounting softwarePastelQuickbooksSageXeroOtherDo you have a financial advisor?*YesNo Brief description of business*What are the top 3 challenges you wish to address in the next 12 months?*Total Funding required*I do not require funding< R 1 million< R 3 million< R 5 million< R 10 million> R 10 millionWhich of the following do you require funding for?* Land Property Vehicle Machinery Loadshedding equipment Equipment Working capital Marketing expenditure Other Tick all that applyWhich of the following assets are you leasing?* Property Vehicle Machinery Laptop Printer None Tick all that applyWhich of the following do you have?* Life policy Disability cover Key man policy Funeral policy Medical aid Retirement annuity Tax free savings account Unit trust Will None of the above Tick all that applyGeneral Terms and Conditions* Yes, I agree Chart Your Path takes your privacy and the protection of your personal information seriously. By submitting this form, you give Chart Your Path permission to communicate with you in future regarding your business If you take up a sponsored (free) ticket, you understand that additional information may be requested and your personal information will be shared with the sponsors and you give the sponsors of the event permission to communicate with you in future.