ONLINE REGISTRATION FORM

Name of Business*
Trading Start Date?
Contact Name*
Email
Website address
Address*
Postcode*
Telephone
Fax
Number of Employees*
Annual Turnover (£)
Nature of Business*
Where did you hear about the Merseyside Innovation Awards?
Please tell us a little more about the following: (in no more than 75 words per section):
What is your product or service and why is it innovative?
Is the product/service currently on the market and what is its commercial potential?
How will the innovation benefit the Merseyside economy?