Banbridge District Council, Stem Project


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	STEM Project Southern Group Environmental Health Committee Riverside House Tower Hill Complex Armagh BT61 9EG Tel - 00 44 28 37 515810 Fax - 00 44 28 37 515809

	Want to register?
	Want to register?

REGISTRATION FORM - STEP 1

* Company Name:

* Address:

Postcode:

* Telephone No:

Fax No:

Email Address:

Website Address:

* Contact Name:

Position:

* Head Office:

Company Reg. No:

* Local Council:

* No. of employees:

* Industry Sector:

* Annual Turnover, please tick:

< £100,000 100,000 - 1m 1m - 10m 10m - 20m 20m - 30m 30m +

* Is your business currently in receipt of any other related funding or in the process of applying for other funding in respect of Environmental Management?:

Yes No

If yes please provide details:

Please provide details of company ownership

i.e. Private, Public, if owned by a larger company please provide details.

* Info:

Use the space provided below to explain a little about your products and markets and any other information

* Info:

* - required fields

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