First Name*
Last Name*
Company Name (if applicable)
Address*
Phone*
Cellphone
Fax
Email*
Website Address
Type of Business*
Year Established
Current State of Business*
Number of Employees
How did you hear about e-centre Start-up?
If application has been submitted to any further organisation please enter them

Please download this word document by clicking the below link and clicking open.
/site/ecentre/images/project_outline.doc project_outline.doc
In the document fill in the questions listed. When you are finished click file then save as and save the document to a place that you know the location of (eg my documents). Once it is saved and closed use the file box below to browse and upload the saved word document from your computer to the application form.  When the correct filename appears in the box and the boxes above with the * have been filled in then click submit.  The e-centre will be in touch within a few a few days to discuss your application.

Project Outline*
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