The Childrens Media Conference 2011 and Kirklees businesses

1. Your name *This question is required.

2. Your company name *This question is required.

3. Your address *This question is required.

4. Your telephone

5. Your email address *This question is required.

6. Please describe your company *This question is required.

7. When did your company start trading?

8. What is the annual turnover of your business?

9. Are you available to attend The Children's Media Conference from 6th to 8th July 2011? *This question is required.

10. Are you able to attend a round table discussion about your experience of the Conference at an agreed date later this summer?

11. Please tell us how your business might benefit from attending The Children's Media Conference *This question is required.

12. Do you agree to provide feedback and share insight from the conference with other businesses in Kirklees? *This question is required.