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Title*

Firstname*

Surname*

Company

Address, Line 1*

Address, Line 2

Postcode

Tel*

Email

How did you hear about the Growth Company Investor Show?

Your Role

Active private investor
Prospective small-cap investor
Fund manager
Market-maker
Investment analyst
Professional adviser
Private client broker
Other (please specify below)

Other

Please indicate which sectors you have recently invested in

Healthcare/biotechnology
Media & communications
IT
Property
Resources
Leisure
Financial services
Retail
Other (please specify below)

Other

How many investments in small-caps have you made over the past 12 months?

0-2
3-5
6-10
10+

What is your average size of investment?

0 - 999
1,000 - 4,999
5,000 - 9,999
10,000+

Your income band

0 - 30k
31k - 50k
51k - 100k
100k+

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