• First Name
• Last Name
• Email
• Phone Number
• Hometown
• I am...
  - Select a Value - an entrepreneur, my business revenue is under $350,000 CDN. an entrepreneur, my business revenue is between $1,350,000 and $10,000,000 CDN. an entrepreneur, my business revenue is between $350,000-$1,350,000 CDN. a proud EO Member! interested in EO, however none of these options apply to me. a former EO member. an entrepreneur, my business revenue is over $10 million CDN. an accelerator member.

I selected "Other" because none of the dropdown options reflects my involvement status.

• My GSEA involvement interest/personal status is...
• I would like to be part of the GSEA community in the following way(s) [check all that apply]:
  Committee member Coach/Mentor Competition Judge Donation Flight Points Hotel Points Sponsor a Local Student Other - someone from the GSEA committee will reach out to understand involvement interest.

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