Federation of Small Businesses (FSB) membership expression of interest form

To express an interest in a subsidised two-year Federation of Small Businesses (FSB) membership, please complete the following application form.

Business name

Nature of business

Contact name

Position

Email address

Telephone number

Business address

Postcode

Gender

Male

Female

Other

Prefer not to say

Ethnicity

Asian/British Asian

Black/African/Caribbean/Black British

Mixed/Multiple Ethnic Groups

White

Other ethnic group

Prefer not to say

Disability

Yes

Prefer not to say

Company registration number

Charity registration number (if applicable)

Is the business operating in Dacorum?

Yes

How long has the business been in operation?

0-1 years

1-5 years

5-10 years

More than 10 years

Number of employees

0 employees

1-4 employees

5-10 employees

Annual turnover of the business

Up to £60,000

£60,000 to £80,000

£80,000 to £120,000

£120,000 to £160,000

£160,000 to £200,000

More than £200,000

Where did you hear about the FSB Membership programme?

Dacorum Borough Council newsletter

Dacorum Borough Council website

FSB newsletter

FSB membership advisers

Networking event

Word of mouth

Radio

Other...

What type of support does your business need and how could membership to the FSB help? Please detail below.

Privacy

We collect equalities data (age, gender, ethnicity and disability) purely for reporting purposes for the programme to understand adoption and engagement across the borough's diverse business community.

Your information will only be used for the stated purpose, in line with Data Protection legislation. By completing this form you consent to us processing the data you provide to us.

Page Last Updated: Thursday, 10 April 2025 at 09:49 AM

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