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Entry form - Technology Fast 50 Awards 2008

To enter the Technology Fast 50 Awards for 2008 please complete and submit the entry form below by
Sunday 14 September 2008.

Entrants will be contacted after the nomination form is submitted and asked to provide the following:

        Details of company revenues, from, and including, years 2003 to 2007;

        Hard copies of company accounts for each of the following years’ end: 2003; 2004;
           2005; 2006 and 2007 for verification by Deloitte accountants;

        A brief company description with the application form.

Please check the eligibility criteria to see if a company can be considered.

This application form should take you no longer than 15 minutes to complete.

*Indicates mandatory fields

1. Contact information

*Company Name:

(as it will be published)

*Region of Business:

Other (please specify):

*Address Line 1:

*Address Line 2:

Address Line 3:

City:

*Postcode:

*Phone:

Fax:

*Website:

CEO/Managing Director

*First name:

*Surname:

*Title:

*Email:

Phone:

CFO/Finance Director

*First name:

*Surname:

*Title:

*Email:

Phone:

*How did you hear about the programme?

If other, please specify:

2. Corporate information

*Type of company:Public Private

Turnover
Please note: turnover for each year should be as reported in that year's Accounts.

*Month of financial year end:

Turnover:

Please use numbers only, no punctuation

*2003 £

*2004 £

*2005 £

*2006 £

*2007 £

What type of institution are you funded by?

If other, please specify:

Industry description: (UK Primary SIC code)

*Company description
In 100 words or less, provide a description of your company and its products and/or services. Please ensure this description is accurate as it will be used in programme marketing tools should your company be selected as a winner.

3. Market environment and challenges

*What impact has the economic slowdown had on your
business?

*How will your business respond to an economic slowdown?

*How confident are you that your business will sustain its high
level of growth over the next twelve months?

*What is your biggest operational challenge in managing your company's rapid growth?

*What is your company's biggest financial challenge?

*Whom do you consider as your main competitors?

*What do you see as your single biggest priority in the next 12 months and why?

4. Contact name

*First name:

*Surname:

*Title:

*Email:

*Phone:

*Fast 50
I agree that the information supplied in this form in connection with the Fast 50 awards program, including financial data and contact information may be disclosed to the sponsor organisations and or published in publications determined by Deloitte. These organisations have agreed to comply with the 1998 Data Protection Act and will not disclose your data without prior consent.

I do not agree with the above statement.

*Fast 500
I agree to have company revenue disclosed/published in publications determined by Deloitte for the Fast 500**.

I do not agree with the above statement.

Please note: your company cannot be considered until we receive the supporting information (annual reports).

Please submit your annual accounts to: ***
Deloitte - Freepost RLTA-JCYX
c/o Shamrock Marketing Ltd
Unit A3 Wycombe 3
Boundary Road
High Wycombe
HP10 9PN

** UK entrants will be put forward to the EMEA Fast 500 competition (Europe, Middle East & Africa), along with entrants from other national programmes run by Deloitte in the EMEA region.

***Please note that Deloitte use a third party to collate and telephone market Fast 50 information and this organisation (Shamrock marketing www.shamrock-marketing.co.uk) is bound by a confidentiality agreement and complies fully with the 1998 Data Protection Act and subsequent EC directives on Privacy & Electronic Communications. Your information will be stored by them on a computer for the purposes of managing the responses to this project and for no other purpose.