ExpressionOfInterest

Personal Details

First Name

Surname

Confirm email

Phone Number

Mobile Number

Company Details

Company Name

Address Line 1

Address Line 2

Town City

County

Postcode

Website

Is your business multi-site?

Yes

Brief description of what your Company does

Enquiry Reason and Source

Reason for enquiry

How did you hear about us?

Source:

Source Detail:

Data Protection Statement

Use of information

The information provided in this registration form may be used by Enterprise M3 Growth Hub and/or their respective delivery partners for administering requests for support registration and to contact you should you make an application for business advice and/or support.

Your rights.

You may be able to obtain a copy of the personal data held on you by contacting the Enterprise M3 Growth Hub in writing enclosing a stamped addressed envelope.

Declaration

You consent to the use of your information in supporting your businesses as set out above.

Consent granted

Yes

Deminimis State Aid

If within the past 3 years your business has received support from any public sources ie central government departments, local authorities etc. in any form (financial or non-financial) eg advisory services, loans, guarantees, grants, rent rebates or sale of land at less than best price – your business may have received so called De Minimis aid. You will have received a letter from the provider informing you that their support was a De Minimis aid and informing you on its value. European rules state that the value of De Minimis aid provided to a business cannot exceed €200,000 within a 3 year rolling period (De Minimis limit is €100,000 for road freight transport organisations).

Has your business received state aid/ De Minimis aid within the past 3 years?

Yes

Please answer the State Aid question above

Will you stay within the state aid limits

Yes

Please answer the State Aid limits question above

Marketing Options

Newsletters and other information.

From time to time, we would like to send you useful business updates, newsletters and information about support that could be beneﬁcial to your business by email, social media or phone. You can change your mind at any time.

To receive useful business updates, newsletters and other relevant information by email, post and telephone, as set out above.

Post

Yes

Social Media

Yes

Telephone

Yes