Member registration

Edit the your details and press REGISTER to update the database

Title

First name

Last name

Job Title

Organisation/Company

Address

Town/City		County
Postcode		Country

Phone

Mobile

Fax

Your email address

Your web address, don't enter any initial http://
http://

Please enter the type of your company

Please enter the name of your company as registered in Companies House, or your trading name

Your Company number

It helps us to have a sentence or so that describes your company, please enter that here:

What sector is your company? Select Other and fill in the box below if none apply

If you've selected 'Other', fill in the sector

We need you to enter a name that will be used to login to the website and also supply a password. You can leave the login names and passwords empty to automatically create entries.

Hub web site login name		Your password		Confirm password
Login name should be lower case, and be letters, numbers and full stop only

I am interested in working with the Hub (tick all that apply):

		as a client company
		as an entrepreneur
		as a sponsor
		as an investor
		as a mentor
		as an interim CEO
		other.. please specify below

If 'Other' is ticked above, supply additional information

Tick the areas in which you are interested:

Support for my business		Newsletter
Renting a hot desk, office or laboratory		Canterbury Enterprise Network
Medical Network		Security Network

If you are in the Medical arena, please answer the following questions:
I am member of SEHTA, The South East Health Technologies Alliance:
I would like to join SEMDN, The South East Medical Device Network:

Select one of more from this list to tell us the sectors that are relevant to you:

ICT		BioMedical		Security		Nanotechnology
Other

If 'Other' is ticked above, supply the additional sector

The following options control what we send to you:
Allow us to send email Yes    No
Allow us to send postal mail Yes    No
Allow us to give information to third parties Yes    No

Enter the text from the image:

Finally, click here.

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