Registration

SFE 2024 Join the Roundtable for Changemakers: A Virtual Gathering of Visionaries!

Wednesday, June 26, 2024 10:00 AM to 11:30 AM Mountain

Location: Online

Facilitated by WESST Santa Fe Women's Business Center

98 Open Seats

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First Name
Last Name
Zip Code	Enter your 5 digit Zip Code. If you don't have one or don't know your zip code, enter 00000

Business Name	Leave blank if you do not have a name chosen or the business name is the same as your name.
Position	Your position or title related to this business
Address	Your physical street address (number and street) of the business. If a home based business, or the business has not started yet, use your home address.
Address Line 2	Optional. Use for additional address postal information like apt, floor, suite, etc., or a PO Box.
City
State

Primary Phone	The best phone number (with area code) to reach you during our standard business hours. Include extension if necessary.
Primary Phone Type	Type of the primary phone above
Secondary Phone	A secondary phone number to contact you, if we cannot reach you at the primary number.
Secondary Phone Type	Type of the secondary phone above

Web Site	Web site URL for the business

Race	Asian Black or African American North African Middle Eastern Native American/Alaska Native Native Hawaiian/Pacific Islander White Prefer not to say Other Check any that apply
Hispanic Ethnicity
Gender
LGBTQ
Person with Disability	Do you consider yourself a person with a disability
Military Status
Branch of Service
Country of Origin	If you are an immigrant or refugee, what is your Country of Origin?
Date of Birth

Employment Status
Highest Education Level
Relationship Status
Number of Children 8 years old and younger in your household
Number of Individuals from 9 to 17 years old in your household
Total Number of Individuals in your household (including yourself)
Annual Household Income $