Eventbrite Survey Registration

U.S. Securities and Exchange Commission Eventbrite Registration Survey

1. Name

2. Title

3. City and state of residence

4. Email

5. Organization

6. How do you fit in the capital raising ecosystem?

• Checkbox for:

  • Entrepreneur (business)

  • Investor

  • Professional advisor

  • Community/Nonprofit leader

  • Government

  • Academia

  • Trade Association

  • Other (Blank field to provide additional input)

7. What stages of the small business lifecycle are you most interested in discussing?

• Checkbox for:

  • Small, emerging businesses

  • Mature and later stage businesses

  • Smaller public companies

8. What capital formation topics would you like to discuss at the event?

9. What aspects of the event are the greatest value to you?

• Checkbox for:

  • Educational content

  • Policy recommendations

  • Networking opportunities

  • Other (Blank field to provide additional input)

10. Are you participating in person or via teleconference?

• Checkbox for:

  • In person

  • Teleconference

11. Will you be attending the networking session at the end of the Forum?

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