Make a Difference Leaders A.G.M & Leadership Forum

Complete this form if you are interested in attending the Make a Difference Leaders Annual General Meeting & Leadership Forum on Monday 19th October. We will send you full agenda details and the link to register.

First Name

Last Name

Company

Job title

Do you influence the purchase of workplace culture, employee health and wellbeing solutions?

Phone number

What sector does your organisation operate in?

Location

Nearest major city

B: Is your organisastion employer side? Eg. you procure products and services designed to create inclusive workplace cultures and/or support employee health and wellbeing.

Yes No

C: Is your organisation supplier side? Eg. you sell products or services to other organisations that are designed to create inclusive workplace cultures and/or support, employee health and wellbeing.

Yes No

D: How many employees does your organisation have:

What is your job role?

Do you have any dietary requirements?

Are you interested in sponsoring or exhibiting at this event?

I'm interested in sponsoring or exhibiting at this event

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