Registration for Roanoke Workshop

All fields are required unless otherwise noted. Please note that seating is limited and advanced registration is required by March 29, 2007!

Name:
Organization (if applicable):
Address:
City:    State:   Zip Code:
Telephone:
Email:

Do you plan to attend the entire workshop?
Entire Workshop
Morning Only
Afternoon Only

If you intend to attend in the afternoon, please select one of the following workshops to attend during the first Concurrent Workshops section from 1:30 PM to 2:30 PM:
How to Start and Operate a Business
Growing Your Business/Marketing Strategy
Financing/Managing Resources
Starting and Operating a Tourism Venture
Selling to State Government

If you intend to attend in the afternoon, please select one of the following workshops to attend during the first Concurrent Workshops section from 2:30 PM to 3:30 PM:
How to Start and Operate a Business
Growing Your Business/Marketing Strategy
Financing/Managing Resources
Starting and Operating a Tourism Venture
Selling to State Government

If you intend to attend in the afternoon, please select one of the following workshops to attend during the first Concurrent Workshops section from 3:30 PM to 4:30 PM:
How to Start and Operate a Business
Growing Your Business/Marketing Strategy
Financing/Managing Resources
Starting and Operating a Tourism Venture
Selling to State Government

I will be eating lunch at the event:
Yes No

I am (check all that apply):
A business owner. Type of Business:
Interesting in starting a business
A community supporter of business

I would like to participate in a one-on-one consultation with a business advisor on one of the following topics (Optional):
How to Start and Operate A Business
Growing Your Business/Marketing Strategy
Financing/Managing Resources
Available Resources
Starting and Operating a Tourism Venture
Selling to State Government

How did you hear about the Workshop?
Newspaper
Website
Flyer
TV
Other:

OPTIONAL DEMOGRAPHIC INFORMATION

Race (Optional):
Caucasian
African-American or Black
American Indian or Alaska Native
Asian
Native Hawaiian or Pacific Islander
Other Race
Two or More Races

Are you Hispanic or Latino (Optional)?
Yes No

Gender (Optional): Male Female

Age (Optional):


Military Status (Optional):
Not Applicable
Veteran
Vietnam Veteran
Disabled Veteran